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Deactivated NPI 1740840206 Deactivated / Inactive NPI Female Practitioner

Nicole Young , CDCA

Case Manager/Care Coordinator • Massillon, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicole Young has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2019
NPI Deactivation Date November 17, 2021
Total Practice Duration ~2 Years of Practice (2019 – 2021)

Professional Overview & Biography Verified Profile Summary

Nicole Young, CDCA was a registered Case Manager/Care Coordinator practicing in Massillon, OH. Throughout an active medical career spanning 2 years, Nicole Young provided care at the practice location at 3545 LINCOLN WAY E STE B until profile deactivation on 2021-11-17.

Practice Location & Contact Primary Location

Practice Address

3545 Lincoln Way E Ste B

Massillon, OH 446468624

Telephone 5138347063
Fax 5138731567
Associated Practice Facility / Clinic
🏢 Parag Patel Md Pllc Facility NPI 1982634044

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Massillon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
32 Specialists

Practicing in Massillon, OH (35490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patricia Burns , APRN

Nurse Practitioner - Family

NPI 1003225327

Advanced Practice Registered Nurse

Jason Carmody

Counselor - Addiction (Substance Use Disorder)

NPI 1013414127
Megan Russell , LPCC, CADC

Counselor - Professional

NPI 1013469501

Licensed Professional Clinical Counselor, Certified Alcohol and Drug Counselor

Katrina Kanigoski , LCDCII

Counselor - Addiction (Substance Use Disorder)

NPI 1013469931
Cheryl Smith , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1023603644

Chemical Dependency Counselor Assistant

Amy Brewster , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1023772795

Chemical Dependency Counselor Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated November 17, 2021

Record deactivated on November 17, 2021

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2019

Counselor (License #CDCA.171330 in OH)

NPI Profile Active June 24, 2019

NPI status registered as active in NPPES database

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Updated Practice Location June 24, 2019

Registered at 3545 LINCOLN WAY E STE B, MASSILLON, OH 446468624 (Tel: 5138347063)

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Updated Business Mailing Address June 24, 2019

Registered at 446 MORGAN ST, CINCINNATI, OH 452062348 (Tel: 5138347063)

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Provider Name / Credentials Updated June 24, 2019

Recorded as NICOLE YOUNG, CDCA

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2019

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration June 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740840206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2019
Last Update: June 24, 2019
Deactivation Date: November 17, 2021

Mailing Address

446 Morgan St

Cincinnati, OH 452062348

Phone: 5138347063

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.