Individual provider Active NPI

Jennifer Lynn Yarns, MS

  • Mental Health Counselor
  • Ralston, NE
National Provider Identifier
1609179365
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2215 Issued in NE
Practice address
7561 Main St
Suite 425
Ralston, NE 68127-3981
Phone
(403) 709-0417
NPI assigned
Dec 17, 2010
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 565 NE
Mental Health Counselor 101YM0800X 2215 NE Primary

Addresses

Primary practice location

7561 Main St
Suite 425
Ralston, NE 68127-3981

Mailing address

7561 Main St
Suite 425
Ralston, NE 68127-3981
Phone (403) 709-0417

Other names 1

  • Jennifer Yarns Youngblood Former name

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 Science

State licenses

LicenseStateTypeSpecialty
565NEMDPhysical Therapist
2215NEMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1609179365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7561 MAIN ST",
            "address_2": "SUITE 425",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681273981",
            "telephone_number": "403-709-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7561 MAIN ST",
            "address_2": "SUITE 425",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681273981",
            "telephone_number": "403-709-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARNS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "565",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "YOUNGBLOOD",
            "middle_name": "YARNS",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ralston, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.