Active NPI
Jane Yeatter, LPC
- Mental Health Counselor
- Harrisburg, PA
National Provider Identifier
1013235167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC004185
- Practice address
- 3544 N Progress Ave
Suite 110
Harrisburg, PA 17110-9480 - Phone
- (717) 901-7380
- Fax
- (717) 901-7383
- NPI assigned
- May 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC004185 | PA | Primary |
Addresses
Primary practice location
3544 N Progress Ave
Suite 110
Harrisburg, PA 17110-9480
Mailing address
3544 N Progress Ave
Suite 110
Harrisburg, PA 17110-9480
Phone (717) 901-7380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC004185 | Other | PA | PA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004185 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1013235167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3544 N PROGRESS AVE",
"address_2": "SUITE 110",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171109480",
"telephone_number": "717-901-7380",
"fax_number": "717-901-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 N PROGRESS AVE",
"address_2": "SUITE 110",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171109480",
"telephone_number": "717-901-7380",
"fax_number": "717-901-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEATTER",
"first_name": "JANE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-13",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC004185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
"identifier": "PC004185",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.