Angelique Danielle Yemma, LCAT, BC-DMT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001590-01 Issued in NY

Practice address

806 Willow Rd
Franklin Square, NY 11010-4035

Phone

(404) 512-8971

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1467132092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 WILLOW RD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110104035",
            "telephone_number": "404-512-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 WILLOW RD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110104035",
            "telephone_number": "404-512-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEMMA",
        "first_name": "ANGELIQUE",
        "middle_name": "DANIELLE",
        "credential": "LCAT, BC-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NY",
            "license": "001590-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001590-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winthrop University Hospital
• David Jay Wolfson, MD
• Jacquelyn Ariel Wood
• Shalawnna Wright
• Eric Yakubovich
• Dorotea Ninfa Yetman, M.S.
• Chae Lin Yoo
• Charles Edward Yurkewicz, PSY.D.
• Khadija Zahid
• Brandy Lynn Zaminer, PHARM D

• Mental Health Counselor in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.