Organization Active NPI

Heidi Yocum

  • Community/Behavioral Health Agency
  • Gaylord, MI
National Provider Identifier
1366099129
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 26, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1255672515MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.