Jordan C Yeomans

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3941 68TH Ave N
Pinellas Park, FL 33781-6136

Phone

(727) 657-7761

NPI assigned

Sep 20, 2022

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tampa Bay Area Counseling

  dba TBAC Group

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1508409319
  Medicare reassignment NPD
• Mindmetrics

  • Mental Health Counselor
  • Palm Harbor, FL
  • NPI 1477302727
  NPD (past)

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1215650841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 68TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337816136",
            "telephone_number": "727-657-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 68TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337816136",
            "telephone_number": "727-657-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEOMANS",
        "first_name": "JORDAN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katina D Wright, M.S.
• Sarah C Wright, OTR/L
• Lori Yakita
• Brad Yang
• William Cortney Yates, PHARM.D.
• Jenel Yore
• Diane Denise York, LCSW
• Bradley Rockwell Young
• Lisandra Yumar
• Sara Kate Zachary Thompson, PSY.D.

• Mental Health Counselor in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.