Jake D Yermini, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

106768 Issued in CA

Practice address

4545 N West Ave
Fresno, CA 93705-0946

Phone

(559) 229-3561

NPI assigned

Aug 27, 2018

Sex

Male

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spring to Autumn Family Counseling, Inc.

  • Marriage & Family Therapist
  • Redlands, CA
  • NPI 1689056442
  Medicare reassignment NPD
• Comprehensive Youth Services of Fresno, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1730213323
  NPD (past)
• Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1437328044
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1114408127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050946",
            "telephone_number": "559-229-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050946",
            "telephone_number": "559-229-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERMINI",
        "first_name": "JAKE",
        "middle_name": "D",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talar Yemenjian, PHARM D
• Catherine Eleanor Yen, M.D.
• Ching Shiong Yen, MD
• Matthew Paul Yepez
• Savanna Reyonnna Yepez, MS, AMFT
• Belinda Marie Yescas, MSW
• Adam Yetter, ATC
• Andrew M Yi
• David Hanyong Yi, D.O.
• Jingzheng Yi, DDS

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.