Eileen Yagoda, MA, RDT-BCT, LCAT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCAT 001022 Issued in NY

Practice address

204 N Cayuga St
Ithaca, NY 14850-4333

Phone

(607) 273-7494

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

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.

• Family & Children'S Service of Ithaca Inc

  • Voluntary or Charitable Agency
  • Ithaca, NY
  • NPI 1124176680
  NPD (past)
• Family and Children Services of Ithaca

  • Social Worker
  • Ithaca, NY
  • NPI 1306077425
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1356500847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504333",
            "telephone_number": "607-273-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGODA",
        "first_name": "EILEEN",
        "credential": "MA, RDT-BCT, LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "LCAT 001022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiayan Wu
• Nelson Eric Wu
• Shunwen Wu, PHARMD
• Sonam Yadav, MBBS
• Yogesh Ramprem Yadav, MD
• Amy Janet Yale-Loehr, M.D.
• Lillian Yavits, RN
• Cassidy Yaw, LPN
• Stephen Yeager, RPH
• Kaichuan Yeh, M.S., PHARM. D.

• Mental Health Counselor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.