Andrew Yazbak

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC.0019267 Issued in CO

Practice address

1133 N Pennsylvania St
Denver, CO 80203-2502

Phone

(303) 551-0117

NPI assigned

Mar 6, 2023

Sex

Male

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

Locations

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.

• Revival Therapy Services LLC

  • Professional Counselor
  • Denver, CO
  • NPI 1457008591
  NPD
• Revival Therapy Services LLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1619780145
  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1326748666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N PENNSYLVANIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N PENNSYLVANIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032502",
            "telephone_number": "303-551-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZBAK",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0019267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yodit Yassou
• Robin K Yasui, MD
• Caroline Elizabeth Yates Deffenbaugh, LCSW
• Michelle Ann Yates, M.S., CCC-SLP
• Susan Doris Yates, RN, CRNFA
• Soussan Yazdi
• Kahina Yazid
• Denise K Ybarra, RN
• Reuben Ybarra, R.PH.
• Ycmats LLC (Preventive Health Now)

• Mental Health Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.