Individual provider Active NPI

Jennifer Nicole Yorgensen, LPC, NCC

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1235623109
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-20060 Issued in AZ
Practice address
2938 N 61St PL Unit 108
Scottsdale, AZ 85251-7030
Phone
(860) 707-3335
NPI assigned
Jun 14, 2018
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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 LAC-17332 AZ
Mental Health Counselor 101YM0800X LPC-20060 AZ Primary

Addresses

Primary practice location

2938 N 61St PL Unit 108
Scottsdale, AZ 85251-7030

Mailing address

2938 N 61St PL Unit 108
Scottsdale, AZ 85251-7030
Phone (860) 707-3335

Other practice location 1

5040 E Shea Blvd Ste 164
Scottsdale, AZ 85254-4686
Phone (480) 641-1164

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
LAC-17332AZMDMental Health Counselor
LPC-20060AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1235623109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2938 N 61ST PL UNIT 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517030",
            "telephone_number": "860-707-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 N 61ST PL UNIT 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517030",
            "telephone_number": "860-707-3335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5040 E Shea Blvd Ste 164",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852544686",
            "country_code": "US",
            "telephone_number": "480-641-1164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORGENSEN",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-17332",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.