Active NPI
Shian Yu, LLPC
- Professional Counselor
- Okemos, MI
National Provider Identifier
1174034151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401015613
- Practice address
- 2300 Jolly Oak Rd
Okemos, MI 48864-3546 - Phone
- (517) 679-2050
- NPI assigned
- Oct 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401015613 | MI | Primary |
Addresses
Primary practice location
2300 Jolly Oak Rd
Okemos, MI 48864-3546
Mailing address
6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone (248) 620-6400
Other practice location 1
2389 Jarco Dr
Holt, MI 48842-1209
Phone (517) 694-5098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015613 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1174034151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6549 TOWN CENTER DR STE A",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464824",
"telephone_number": "248-620-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 JOLLY OAK RD",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643546",
"telephone_number": "517-679-2050"
}
],
"practiceLocations": [
{
"address_1": "2389 Jarco Dr",
"address_purpose": "LOCATION",
"city": "Holt",
"state": "MI",
"postal_code": "488421209",
"country_code": "US",
"telephone_number": "517-694-5098",
"fax_number": "517-694-5580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "SHIAN",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-18",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401015613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.