Individual provider Active NPI

Korin Yashar, LMHC, RDN

  • Registered Dietitian
  • Fort Lauderdale, FL
National Provider Identifier
1184779357
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005701 Issued in NY
Practice address
2699 Stirling Rd Ste C404
Fort Lauderdale, FL 33312-6595
Phone
(718) 216-3115
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22774 FL
Registered Dietitian 133V00000X 005701 NY Primary

Addresses

Primary practice location

2699 Stirling Rd Ste C404
Fort Lauderdale, FL 33312-6595

Mailing address

2699 Stirling Rd Ste C404
Fort Lauderdale, FL 33312-6595
Phone (718) 216-3115

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22774FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition of Mind Therapy & Wellness Mental Health CurrentSince Mar 20, 2025 Accepting new patients

Locations

2699 Stirling Rd
Ste C404
Fort Lauderdale, FL 33312
Phone (718) 216-3115

Organizations & group practices 1

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1184779357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C404",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126595",
            "telephone_number": "718-216-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C404",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126595",
            "telephone_number": "718-216-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASHAR",
        "first_name": "KORIN",
        "name_prefix": "Mrs.",
        "credential": "LMHC, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22774",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.