Individual provider Active NPI

John Yanchek

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1336848563
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2405697 Issued in OH
Practice address
580 Grant St
Akron, OH 44311-9910
Phone
(330) 376-9494
NPI assigned
Feb 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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 C.2204522-TRNE OH
Mental Health Counselor 101YM0800X C.2405697 OH Primary

Addresses

Primary practice location

580 Grant St
Akron, OH 44311-9910

Mailing address

580 Grant St
Akron, OH 44311-9910
Phone (330) 376-9494

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
C.2204522-TRNEOHMDMental Health Counselor
C.2405697OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenleaf Family Center CurrentSince Mar 5, 2023 Accepting new patients
Greenleaf Family Center PastSince Mar 5, 2023 Accepting new patients

Locations

580 Grant St
Akron, OH 44311
Phone (330) 376-9494

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/greenleafctr/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1336848563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 GRANT ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443119910",
            "telephone_number": "330-376-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 GRANT ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443119910",
            "telephone_number": "330-376-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCHEK",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2204522-TRNE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2405697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; 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.