Individual provider Active NPI

Christine Fay Yan, LCSW

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1689190761
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2855 N Speer Blvd
Denver, CO 80211-4239
Phone
(720) 805-9822
NPI assigned
Aug 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2855 N Speer Blvd
Denver, CO 80211-4239

Mailing address

2855 N Speer Blvd
Denver, CO 80211-4239
Phone (720) 805-9822

Other practice location 1

13731 E Rice Pl
Aurora, CO 80015-1063
Phone (720) 949-1707

Other practice location 2

679 S New Hampshire Ave Ste 400
Los Angeles, CA 90005
Phone (213) 639-2660

Other practice location 3

2121 W Temple St
Los Angeles, CA 90026-4915
Phone (213) 260-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 20, 2024 Accepting new patients
Reflective Wellness Mind and Body Mental Health Past Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1689190761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N SPEER BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114239",
            "telephone_number": "720-805-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N SPEER BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114239",
            "telephone_number": "720-805-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13731 E Rice Pl",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800151063",
            "country_code": "US",
            "telephone_number": "720-949-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "679 S New Hampshire Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90005",
            "country_code": "US",
            "telephone_number": "213-639-2660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 W Temple St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900264915",
            "country_code": "US",
            "telephone_number": "213-260-7600",
            "fax_number": "213-260-7791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "CHRISTINE",
        "middle_name": "FAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-20",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.