Marilyn Renee Yearian

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60584958 Issued in WA

Practice address

4313 6TH Ave SE Ste C
Lacey, WA 98503-1072

Phone

(360) 789-8615

Fax

(360) 878-9335

NPI assigned

Jul 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1093970345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 6TH AVE SE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031072",
            "telephone_number": "360-789-8615",
            "fax_number": "360-878-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 6TH AVE SE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031072",
            "telephone_number": "360-789-8615",
            "fax_number": "360-878-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARIAN",
        "first_name": "MARILYN",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60584958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056492",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvin Wynn
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• Amy Joy Yanicak, PHARMD, MPH
• Heather Mickle Yarnell, M.S. CCC-SLP
• Laura M Yates, M.D.
• Danielle K Yee, M.D.
• Yellow Cab Northwest Inc
• Consilia Samkia Yeluma
• Timoteo Dario Yepes, LICSW
• Patrice Mary Yoder, DDS

• Mental Health Counselor in Lacey, WA
• Providers in Lacey, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.