Active NPI
Kirk Robert Yeager II
- Professional Counselor
- Denver, CO
National Provider Identifier
1013352483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0015236
- Practice address
- 10310 E Jewell Ave Apt 55
Denver, CO 80247-3540 - Phone
- (303) 902-0589
- NPI assigned
- Apr 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0015236 | CO | Primary |
Addresses
Primary practice location
10310 E Jewell Ave Apt 55
Denver, CO 80247-3540
Mailing address
4101 E Louisiana Ave Ste 110
Denver, CO 80246-3456
Phone (720) 504-7977
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 |
|---|---|---|---|
| LPC.0015236 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1013352483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 E LOUISIANA AVE STE 110",
"city": "DENVER",
"state": "CO",
"postal_code": "802463456",
"telephone_number": "720-504-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10310 E JEWELL AVE APT 55",
"city": "DENVER",
"state": "CO",
"postal_code": "802473540",
"telephone_number": "303-902-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAGER",
"first_name": "KIRK",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0015236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.