Natasha Renea Yaganeh, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-6668 Issued in ID

Practice address

7192 W Potomac Dr
Boise, ID 83704-9147

Phone

(833) 527-4747

NPI assigned

Oct 16, 2017

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 and National Provider Directory roles.

• Pathways of Idaho, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1326466988
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1205347408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9153",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837073153",
            "telephone_number": "503-475-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7192 W POTOMAC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049147",
            "telephone_number": "833-527-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGANEH",
        "first_name": "NATASHA",
        "middle_name": "RENEA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-6668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donraphael Wynn, M.D.
• Elizabeth Mary Wynn
• Amy Wysong, DO
• Xdi Pathology PA
• Xpert Care LLC
• Karin Lynn Yahr, LCPC
• Melanie Yakemovic, DPT
• Amy Lynn Yameogo, LMSW
• Jie Yan, PA
• Liang Yan, PHARMACIST

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.