Meagen Elizabeth Yacobino, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002612 Issued in CT

Practice address

680 S Main St # LL2
Cheshire, CT 06410-3181

Phone

(877) 577-3233

NPI assigned

Aug 27, 2012

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

Other names 1

• Meagen Elizabeth Diana Former name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Rushford Center, Inc.

  • Psychologist
  • Meriden, CT
  • NPI 1275541005
  Medicare reassignment NPD

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1659629517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S MAIN ST STE LL2",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103181",
            "telephone_number": "877-577-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 S MAIN ST # LL2",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103181",
            "telephone_number": "877-577-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOBINO",
        "first_name": "MEAGEN",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1001",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGEN",
            "last_name": "DIANA",
            "middle_name": "ELIZABETH",
            "credential": "LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna M Wozniak, RPH
• Randi Lea Wright
• Kristen M. Wrocklage, PH.D.
• Anna Wyluda, SPEECH THERAPIST
• Blerina Xhihani, RDH, OMT
• Mary Elizabeth Yager, SPEECH THERAPIST
• Nancy Yang
• Olive Nazli Yaqoob
• Lamia K Yopp, LADC
• You and Yours LLC

• Professional Counselor in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.