Active NPI
Elizabeth Claire Eckhardt Yennaco
- Mental Health Counselor
- Lowell, MA
National Provider Identifier
1215106141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 35 Market St
Lowell, MA 01852-6245 - Phone
- (781) 856-1004
- NPI assigned
- Feb 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT-0657-MT | MA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
35 Market St
Lowell, MA 01852-6245
Mailing address
30 Ronald Dr
Tewksbury, MA 01876-2924
Phone (781) 856-1004
Other practice location 1
258 Salem Rd Ste 1
Billerica, MA 01821-2151
Phone (781) 856-1004
Other names 1
- Elizabeth Claire Eckhardt Yennaco
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 |
|---|---|---|---|
| MT-0657-MT | MA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1215106141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 RONALD DR",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018762924",
"telephone_number": "781-856-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MARKET ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018526245",
"telephone_number": "781-856-1004"
}
],
"practiceLocations": [
{
"address_1": "258 Salem Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Billerica",
"state": "MA",
"postal_code": "018212151",
"country_code": "US",
"telephone_number": "781-856-1004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YENNACO",
"first_name": "ELIZABETH",
"middle_name": "CLAIRE ECKHARDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MA",
"license": "MT-0657-MT",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "YENNACO",
"middle_name": "CLAIRE ECKHARDT",
"credential": "BS, LCMT, CHT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.