Active NPI
Jennifer Nicole Yorgensen, LPC, NCC
- Mental Health Counselor
- Scottsdale, AZ
National Provider Identifier
1235623109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-20060
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-17332 | AZ | MD | Mental Health Counselor |
| LPC-20060 | AZ | MD | Mental 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.