Julie Kay Yaekel-Black Elk, PHD LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MN LPCC 00588 Issued in MN

Practice address

112 1St St W
Bemidji, MN 56601-4002

Phone

(218) 888-8032

NPI assigned

Mar 8, 2007

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)

Enrolled

Credentials

Doctor of Philosophy

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.

• Yaekel-Black Elk Counseling & Consulting

  • Community/Behavioral Health Agency
  • Sandstone, MN
  • NPI 1659754240
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1487785069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49659 STATE LINE RD",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550723032",
            "telephone_number": "218-590-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 1ST ST W",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014002",
            "telephone_number": "218-888-8032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49659 State Line Rd",
            "address_purpose": "LOCATION",
            "city": "Sandstone",
            "state": "MN",
            "postal_code": "550723032",
            "country_code": "US",
            "telephone_number": "218-590-1932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAEKEL-BLACK ELK",
        "first_name": "JULIE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PHD LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3776-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "MN LPCC 00588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Boyd Wood, MD
• Kimberly Woodland, NP
• Paula Sue Woods, LICSW
• Audrey Jean Wuori, APRN, CNP, FNP-C
• Mitchell Wyffels, M.D.
• Elizabeth Yartz, PA
• Trevor Yartz, PA
• John P Yingling, LMFT
• Aaron F Yliniemi, BA
• Kristi York, LICSW

• Mental Health Counselor in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.