Individual provider Active NPI

Jordan Yost, LPC, ACS, NCC, PMH-C

  • Mental Health Counselor
  • Bend, OR
National Provider Identifier
1487300224
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
O8086 Issued in OR
Practice address
296 SW Columbia St Ste a
Bend, OR 97702-1020
Phone
(541) 633-4591
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0018022 CO
Mental Health Counselor 101YM0800X O8086 OR Primary

Addresses

Primary practice location

296 SW Columbia St Ste a
Bend, OR 97702-1020

Mailing address

19552 Sager Loop
Bend, OR 97702-9810
Phone (405) 476-1988

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

State licenses

LicenseStateTypeSpecialty
LPC.0018022COMDMental Health Counselor
O8086ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1487300224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19552 SAGER LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029810",
            "telephone_number": "405-476-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 SW COLUMBIA ST STE A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021020",
            "telephone_number": "541-633-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOST",
        "first_name": "JORDAN",
        "credential": "LPC, ACS, NCC, PMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0018022",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "O8086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.