Individual provider Active NPI

Diana Yoder, LMHC

  • Mental Health Counselor
  • Elkhart, IN
National Provider Identifier
1083120620
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004410A Issued in IN
Practice address
401 W Bristol St
Elkhart, IN 46514-3019
Phone
(574) 402-1400
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004410A IN Primary

Addresses

Primary practice location

401 W Bristol St
Elkhart, IN 46514-3019

Mailing address

401 W Bristol St
Elkhart, IN 46514-3019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 11, 2024 through Jan 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39004410AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Firm Foundation Counseling LLC Mental Health CurrentSince Aug 25, 2024 Accepting new patients
Southern Medical Management, LLC Past Accepting new patients

Locations

401 W Bristol St
Elkhart, IN 46514
Phone (574) 328-8030

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1083120620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143019",
            "telephone_number": "574-402-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "DIANA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004410A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.