Active NPI
Heidi Yocum
- Community/Behavioral Health Agency
- Gaylord, MI
National Provider Identifier
1366099129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HEIDI YOCUM
- Practice address
- 127 W Main St Ste 202
Gaylord, MI 49735-1345 - Phone
- (989) 858-1476
- NPI assigned
- Aug 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heidi Yocum
- Title
- LPC
- Phone
- (989) 858-1476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
127 W Main St Ste 202
Gaylord, MI 49735-1345
Mailing address
148 Meadowview LN
Gaylord, MI 49735-9366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255672515 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
127 W Main St
Ste 202
Gaylord, MI 49735
Phone (231) 290-0246
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Gaylord, MI
- NPI 1255672515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566777600000",
"number": "1366099129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 MEADOWVIEW LN",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W MAIN ST STE 202",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351345",
"telephone_number": "989-858-1476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEIDI YOCUM",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A",
"authorized_official_last_name": "YOCUM",
"authorized_official_first_name": "HEIDI",
"authorized_official_title_or_position": "LPC",
"authorized_official_telephone_number": "989-858-1476"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255672515",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.