Yelena Zaitseva Lavender, LCSW74244

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

455 K Street
Crescent City, CA 95531

Phone

(707) 951-4317

NPI assigned

May 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Yelena Zaitseva Paige Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• County of del Norte

  • Community/Behavioral Health Agency
  • Crescent City, CA
  • NPI 1790801116
  Medicare reassignment NPD

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1447638044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 K ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314107",
            "telephone_number": "707-464-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 K STREET",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "95531",
            "telephone_number": "707-951-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "YELENA",
        "middle_name": "ZAITSEVA",
        "name_prefix": "Mrs.",
        "credential": "LCSW74244",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "PAIGE",
            "middle_name": "ZAITSEVA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherry Marie Latham, A.A./PSYC TECH
• Nanette Latimer, PHARMACIST
• Laurent E Wanner Chiropractic Inc
• Laurent Wanner Chiropractic, Inc
• Laurent Wanner Chiropractic, Inc.
• Beverley Lawrence, FNP
• Rebecca Ann Lawrence, LMFT, RN
• Micah Leaver
• Barbara Joan Lee, LMFT
• Diane Chee Lee

• Mental Health Counselor in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.