Individual provider Active NPI

Jacqueline Annetta Yenni, M.A., PLMHP

  • Mental Health Counselor
  • North Platte, NE
National Provider Identifier
1447467790
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8169 Issued in NE
Practice address
108 E 2ND St
North Platte, NE 69101-5430
Phone
(308) 534-9271
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8169 NE Primary

Addresses

Primary practice location

108 E 2ND St
North Platte, NE 69101-5430

Mailing address

702 Union Ave
North Platte, NE 69101-5269
Phone (308) 534-8416

Other identifiers 1

IdentifierTypeStateIssuer
10025470100MedicaidNE

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447467790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 UNION AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015269",
            "telephone_number": "308-534-8416",
            "fax_number": "308-534-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E 2ND ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015430",
            "telephone_number": "308-534-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENNI",
        "first_name": "JACQUELINE",
        "middle_name": "ANNETTA",
        "name_prefix": "Mrs.",
        "credential": "M.A., PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "8169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025470100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.