Active NPI
Carol Lynn Yates, MA, MFTI
- Marriage & Family Therapist
- Covina, CA
National Provider Identifier
1598890949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 51782
- Practice address
- 535 S 2ND Ave
Covina, CA 91723-3013 - Phone
- (626) 974-0770
- Fax
- (626) 974-0774
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 51782 | CA | Primary |
Addresses
Primary practice location
535 S 2ND Ave
Covina, CA 91723-3013
Mailing address
535 S 2ND Ave
Covina, CA 91723-3013
Phone (626) 974-0770
Other names 1
- Miss Carol Lynn Hiner
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 51782 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598890949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 S 2ND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233013",
"telephone_number": "626-974-0770",
"fax_number": "626-974-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 S 2ND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233013",
"telephone_number": "626-974-0770",
"fax_number": "626-974-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "CAROL",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MA, MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 51782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "HINER",
"middle_name": "LYNN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.