Individual provider Active NPI

Todd Yordy, PCC

  • Mental Health Counselor
  • Ashland, OH
National Provider Identifier
1043329667
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E2110 Issued in OH
Practice address
259 Sandusky St
Ashland, OH 44805
Phone
(419) 289-1876
Fax
(419) 281-6430
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X
Mental Health Counselor 101YM0800X E2110 OH Primary

Addresses

Primary practice location

259 Sandusky St
Ashland, OH 44805

Mailing address

259 Sandusky St
Ashland, OH 44805
Phone (419) 289-1876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241001002333 OH Practitioner - Mental Health Counselor 1658802616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appleseed Community Mental Health Center IncGroup PAC ID 1557269784, 13 clinicians

Practice addresses (Care Compare)

2233 Rocky LN
Ashland, OH 44805-4701
Phone (419) 281-3716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2110OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Appleseed Community Mental Health Center Inc CurrentSince Jul 5, 2024 Accepting new patients
Cornerstone Counseling of Ashland, LLC Mental Health PastSince Nov 1, 2022 Accepting new patients

Locations

2233 Rocky Ln
Ashland, OH 44805
Phone (419) 281-3716

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1043329667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 SANDUSKY ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "44805",
            "telephone_number": "419-289-1876",
            "fax_number": "419-281-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 SANDUSKY ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "44805",
            "telephone_number": "419-289-1876",
            "fax_number": "419-281-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORDY",
        "first_name": "TODD",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E2110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.