Individual provider Active NPI

Courtney Yoachim, MA, LMHP, CPC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1356861603
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5328 Issued in NE
Practice address
8001 S 15TH St Ste C
Lincoln, NE 68512-9617
Phone
(402) 483-7900
Fax
(402) 483-7971
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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 2521 NE
Mental Health Counselor 101YM0800X 5328 NE Primary

Addresses

Primary practice location

8001 S 15TH St Ste C
Lincoln, NE 68512-9617

Mailing address

8001 S 15TH St Ste C
Lincoln, NE 68512-9617
Phone (402) 483-7900

Other identifiers 1

IdentifierTypeStateIssuer
470398819MedicaidNE

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5328NEMDMental Health Counselor
2521NEMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1356861603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 S 15TH ST STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129617",
            "telephone_number": "402-483-7900",
            "fax_number": "402-483-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 S 15TH ST STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129617",
            "telephone_number": "402-483-7900",
            "fax_number": "402-483-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOACHIM",
        "first_name": "COURTNEY",
        "credential": "MA, LMHP, CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2521",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470398819",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.