Yaekel-Black Elk Counseling & Consulting

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CC00588 Issued in MN

Legal business name

YAEKEL-BLACK ELK COUNSELING & CONSULTING

Practice address

49659 State Line Rd
Sandstone, MN 55072-3032

Phone

(218) 590-1932

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Julie Kay Yaekel-Black Elk, PHDNPI 1487785069

Title

Counselor/Consultant

Phone

(218) 590-1932

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Kay Yaekel-Black Elk, PHD LPCC

  • Mental Health Counselor
  • Bemidji, MN
  • NPI 1487785069
  NPD (past) Authorized official

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1659754240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49659 STATE LINE RD",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550723032",
            "telephone_number": "218-590-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49659 STATE LINE RD",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550723032",
            "telephone_number": "218-590-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAEKEL-BLACK ELK COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "YAEKEL-BLACK ELK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "COUNSELOR/CONSULTANT",
        "authorized_official_telephone_number": "218-590-1932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3776-125",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "CC00588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Vradenburgh
• Kevin Wahlberg
• Jacqueline R Warman, LADC
• Robin Rae Wilkinson
• Kasey L Wilson, ADC-T

• Community/Behavioral Health Agency in Sandstone, MN
• Providers in Sandstone, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.