Kristin Yakovchuk, LPC, ACS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00048000 Issued in NJ

Practice address

40 Bey Lea Rd
Toms River, NJ 08753-2989

Phone

(732) 300-9713

NPI assigned

Aug 26, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Theresa Broo Counseling, LLC

  • Professional Counselor
  • Forked River, NJ
  • NPI 1629945407

  Professional

  NPD (past)

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1265310239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212621",
            "telephone_number": "732-300-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532989",
            "telephone_number": "732-300-9713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Lacey Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Forked River",
            "state": "NJ",
            "postal_code": "087311543",
            "country_code": "US",
            "telephone_number": "609-276-8626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAKOVCHUK",
        "first_name": "KRISTIN",
        "credential": "LPC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00048000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Wullen, M.S. CCC-SLP
• Dena M Wurch, DPT
• Christopher Michael Wyckoff, PT, DPT
• Walter Alan Wynkoop, M.D.
• Xra, P.a.
• Rayson C Yang, M.D.
• Lucille Yanok, LAC
• Yarden Health
• Eunhae Gloria Yeo
• Yes I Can Services LLC

• Professional Counselor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.