Jerilyn L Yingling, LPC, RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0012668 Issued in CO

Practice address

400 W Midland Ave Ste 250D
Woodland Park, CO 80863-3204

Phone

(719) 686-6703

Fax

(719) 686-6704

NPI assigned

Mar 17, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crystal Creek Counseling

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• Crystal Creek Counseling , PC Inc.

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• Crystal Creek Counseling , PC Inc.

  • Professional Counselor
  • Woodland Park, CO
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  NPD (past) Authorized official
• Crystal Creek Counseling , PC Inc.

  • Clinical Social Worker
  • Longmont, CO
  • NPI 1518741966
  Authorized official Same address or phone

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114343928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "GREEN MOUNTAIN FALLS",
            "state": "CO",
            "postal_code": "808190094",
            "telephone_number": "719-640-5344",
            "fax_number": "719-686-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE STE 250D",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633204",
            "telephone_number": "719-686-6703",
            "fax_number": "719-686-6704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6285 Lehman Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809181497",
            "country_code": "US",
            "telephone_number": "719-227-7477 x21",
            "fax_number": "719-227-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YINGLING",
        "first_name": "JERILYN",
        "middle_name": "L",
        "credential": "LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0012668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodland Park Surgical Associates, P.C.
• Woodland Urgent Care, LLC
• Wpo, PLLC
• Muthanna Yacoub, M.D.
• Robert Perry Yardumian, DMD
• Susan Zumergrad, FNP

• Professional Counselor in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.