Individual provider Active NPI

Thomas W Yokoyama, MA, LCPC, LPC

  • Professional Counselor
  • King of Prussia, PA
National Provider Identifier
1003106485
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014935 Issued in PA
Practice address
357 S Gulph Rd Ste 260
King of Prussia, PA 19406-3739
Phone
(253) 254-5911
Fax
(484) 468-1412
NPI assigned
Apr 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.007830 IL
Mental Health Counselor 101YM0800X PC014935 PA
Professional Counselor 101YP2500X PC014935 PA Primary

Addresses

Primary practice location

357 S Gulph Rd Ste 260
King of Prussia, PA 19406-3739

Mailing address

357 S Gulph Rd Ste 260
King of Prussia, PA 19406-3739
Phone (253) 254-9511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000475 PA Practitioner - Mental Health Counselor 1759722523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

357 S Gulph Rd
Suite 260
King of Prussia, PA 19406-3739
Phone (610) 892-3800

780 E Market St
West Chester, PA 19382-4882
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.007830ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

357 S Gulph Rd
Ste 260
King of Prussia, PA 19406
Phone (484) 468-1407

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1003106485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD STE 260",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063739",
            "telephone_number": "253-254-9511",
            "fax_number": "484-468-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD STE 260",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063739",
            "telephone_number": "253-254-5911",
            "fax_number": "484-468-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOKOYAMA",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "MA, LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.007830",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014935",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.