Jinwon Yeo, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00332200 Issued in NJ

Practice address

75 Grand Ave
Englewood, NJ 07631-3522

Phone

(201) 541-8600

Fax

(201) 541-8100

NPI assigned

Jan 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jinwon Hyun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1477027126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313522",
            "telephone_number": "201-541-8600",
            "fax_number": "201-541-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313522",
            "telephone_number": "201-541-8600",
            "fax_number": "201-541-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEO",
        "first_name": "JINWON",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00332200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JINWON",
            "last_name": "HYUN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Yashayev
• Julie B. Yates, LCSW-R, CASAC
• Sheng Huan Ye, MD
• Yee Medicine & Pediatric Associates, PC
• Sau Yan Yee, M.D.
• Soojin Yeom, L.AC.
• Suyon Yim, NP
• Jason Jungsun Yoo, M.D.
• Wan Hyuck Youh, AGNP-C
• Courtnee Young-O'Keefe

• Mental Health Counselor in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.