Elaine A Young

Individual provider Active NPI Mental Health Counselor · Neptune, NJ

NPI 1982149886 · NPPES record last updated Dec 31, 2016

Key facts

NPI
1982149886
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
37PC00570700 (NJ)
Practice address
705 Maple Ave
Neptune, NJ 07753-3923
Phone
(732) 213-3536
NPI assigned
Dec 31, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37PC00570700NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Journey Walked Together Inc Mental Health Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00570700 NJ Yes

Addresses

Primary practice location

705 Maple Ave
Neptune, NJ 07753-3923

Mailing address

705 Maple Ave
Neptune, NJ 07753-3923
Phone (732) 213-3536

Other providers in Neptune, NJ

All providers in Neptune, NJ · Mental Health Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.