Yoshiko Miyake, MA, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6334403-6004 Issued in UT

Practice address

3585 N University Ave BLDG Suite300
Provo, UT 84604-6601

Phone

(801) 797-1111

Fax

(801) 996-0158

NPI assigned

Nov 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Quell Counseling

  • Mental Health Counselor
  • Provo, UT
  • NPI 1649122110
  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1598836090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 N UNIVERSITY AVE BLDG SUITE300",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046601",
            "telephone_number": "801-797-1111",
            "fax_number": "801-996-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 N UNIVERSITY AVE BLDG SUITE300",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046601",
            "telephone_number": "801-797-1111",
            "fax_number": "801-996-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAKE",
        "first_name": "YOSHIKO",
        "credential": "MA, CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00055630",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6334403-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.