Individual provider Active NPI

Cynthia Lynn Nash Yesko, LCPC

  • Mental Health Counselor
  • Park Ridge, IL
National Provider Identifier
1679723811
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180004870 Issued in IL
Practice address
422 N Northwest Hwy Ste 230
Park Ridge, IL 60068-3261
Phone
(224) 585-8105
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180004870 IL Primary

Addresses

Primary practice location

422 N Northwest Hwy Ste 230
Park Ridge, IL 60068-3261

Mailing address

302 Berry Pkwy
Park Ridge, IL 60068-4215
Phone (773) 251-3389

Other names 1

  • Ms. Cynthia Lynn Nash Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20241001002935 IL Practitioner - Clinical Psychologist 2567993538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

422 N Northwest Hwy
Suite 230
Park Ridge, IL 60068
Phone (224) 585-8105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Yesko, LLC CurrentSince Aug 13, 2024 Accepting new patients

Locations

422 N Northwest Hwy
Ste 230
Park Ridge, IL 60068
Phone (224) 585-8105

Organizations & group practices 1

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1679723811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BERRY PKWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684215",
            "telephone_number": "773-251-3389",
            "fax_number": "773-251-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N NORTHWEST HWY STE 230",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683261",
            "telephone_number": "224-585-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH YESKO",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "NASH",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.