Individual provider Active NPI

Tingming Yuan

  • Professional Counselor
  • Westerville, OH
National Provider Identifier
1639954910
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2305334 Issued in OH
Practice address
100 Dorchester SQ N Ste 102
Westerville, OH 43081-7305
Phone
(614) 890-8262
Fax
(614) 776-5333
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.2305334 OH Primary

Addresses

Primary practice location

100 Dorchester SQ N Ste 102
Westerville, OH 43081-7305

Mailing address

1030 Galliton CT Apt F
Columbus, OH 43220-3561
Phone (972) 693-3148

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
C.2305334OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fords LLC Professional CurrentSince Sep 5, 2023 Accepting new patients
Sydnie Johnson Counseling Services LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

100 Dorchester Sq N
Ste 102
Westerville, OH 43081
Phone (614) 776-5311

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1639954910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 GALLITON CT APT F",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203561",
            "telephone_number": "972-693-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DORCHESTER SQ N STE 102",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817305",
            "telephone_number": "614-890-8262",
            "fax_number": "614-776-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "TINGMING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2305334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.