Individual provider Active NPI

Corey Eugene Yeager, COREY YEAGER, LMFT

  • Marriage & Family Therapist
  • Eagan, MN
National Provider Identifier
1013284645
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2237 Issued in MN
Practice address
4290 Fox Ridge Rd
Eagan, MN 55122-2253
Phone
(612) 312-6107
NPI assigned
Nov 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2237 MN Primary

Addresses

Primary practice location

4290 Fox Ridge Rd
Eagan, MN 55122-2253

Mailing address

10593 Noble Cir N
Brooklyn Park, MN 55443-1122
Phone (612) 312-6107

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

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1013284645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10593 NOBLE CIR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431122",
            "telephone_number": "612-312-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 FOX RIDGE RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222253",
            "telephone_number": "612-312-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "COREY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "COREY YEAGER, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.