Yael M Rubin, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00054 Issued in MN

Practice address

80 W 78TH St
#280A
Chanhassen, MN 55317-8715

Phone

(612) 203-5257

Fax

(952) 470-5783

NPI assigned

Mar 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Associated Clinic of Psychology Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Louis Park, MN
  • NPI 1588741292
  NPD (past)
• Mahlen Psychological Services LLC

  • Community/Behavioral Health Agency
  • Eden Prairie, MN
  • NPI 1790143378
  NPD (past)

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

{
    "created_epoch": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268524800000",
    "number": "1447574884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W 78TH ST",
            "address_2": "#280A",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178715",
            "telephone_number": "612-203-5257",
            "fax_number": "952-470-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W 78TH ST",
            "address_2": "#280A",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178715",
            "telephone_number": "612-203-5257",
            "fax_number": "952-470-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "YAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-14",
        "last_updated": "2010-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Roth
• Mandy Marie Rother, RDN, LDN
• Katherine Marie Roush
• Roy R. Moeller D.P.M. P.a.
• Rtgmedical
• Colin Rust, PT, DPT, ATC
• Anne M Rutledge
• Kelsey Ryks, DPT
• Rohin Sachdeva, D.C
• Matt Saemrow

• Professional Counselor in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.