Individual provider Active NPI

Jamielyn Yates, MA, LLPC

  • Professional Counselor
  • Saint Joseph, MO
National Provider Identifier
1124643531
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451019632 Issued in MI
Practice address
1801 N 31St St
Saint Joseph, MO 64506-2131
Phone
(816) 617-1204
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2020009341 MO
Professional Counselor 101YP2500X 6451019632 MI Primary

Addresses

Primary practice location

1801 N 31St St
Saint Joseph, MO 64506-2131

Mailing address

1801 N 31St St
Saint Joseph, MO 64506-2131
Phone (816) 617-1204

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mrs_yates@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20241217002083 MO Practitioner - Mental Health Counselor 5698202539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Oak Center for DBT and Counseling Services, LLCGroup PAC ID 5890106090, 4 clinicians

Practice addresses (Care Compare)

19 E Walnut St
Suite D
Columbia, MO 65203-4505
Phone (573) 442-7232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2020009341MOMDCounselor
6451019632MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling Solutions PastSince Jun 1, 2020 Accepting new patients

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1124643531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N 31ST ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062131",
            "telephone_number": "816-617-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N 31ST ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062131",
            "telephone_number": "816-617-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JAMIELYN",
        "credential": "MA, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2020009341",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451019632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mrs_yates@yahoo.com",
            "affiliation": "N",
            "address_1": "3500 Village Dr",
            "city": "Saint Joseph",
            "state": "MO",
            "country_code": "US",
            "postal_code": "645064979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.