Individual provider Active NPI

Steven Arthur Yankoviak, LLPC

  • Professional Counselor
  • Otsego, MI
National Provider Identifier
1407213119
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015096 Issued in MI
Practice address
115 W Allegan St
Otsego, MI 49078-1115
Phone
(269) 692-2100
NPI assigned
Jan 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015096 MI Primary

Addresses

Primary practice location

115 W Allegan St
Otsego, MI 49078-1115

Mailing address

115 W Allegan St
Otsego, MI 49078-1115
Phone (269) 692-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy & Counseling Services CurrentSince Jan 1, 2024 Accepting new patients
Brainwise Psychotherapy PLLC CurrentSince May 5, 2024 Accepting new patients

Locations

555 W Crosstown Pkwy
Ste 401
Kalamazoo, MI 49008
Phone (269) 389-9502

800 E Milham Ave
Portage, MI 49002
Phone (269) 249-7179

800 E Milham Ave
Ste 200
Portage, MI 49002
Phone (269) 249-7179

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": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1407213119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W ALLEGAN ST",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490781115",
            "telephone_number": "269-692-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W ALLEGAN ST",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490781115",
            "telephone_number": "269-692-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKOVIAK",
        "first_name": "STEVEN",
        "middle_name": "ARTHUR",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MI

Sources for this page

Verify at the official NPI Registry.