Individual provider Active NPI

Elizabeth Claire Eckhardt Yennaco

  • Mental Health Counselor
  • Lowell, MA
National Provider Identifier
1215106141
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
MT-0657-MTMAMDMechanotherapist

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.

Verify at the official NPI Registry.