Nicole Lynn Yenter, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2942 Issued in MS

Practice address

507 Heritage Dr Ste 102
Oxford, MS 38655-5571

Phone

(662) 235-1836

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1689202178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 HERITAGE DR STE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555571",
            "telephone_number": "662-235-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HERITAGE DR STE 102",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555571",
            "telephone_number": "662-235-1836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 Deer Run N",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386558482",
            "country_code": "US",
            "telephone_number": "662-235-1836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YENTER",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MS",
            "license": "P-0566",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Demoin Wright Jr.
• John M Wuerdeman, DPT
• Charles Frederick Wurth, R.PH.
• Lauren Yarbrough, APRN, FNP-BC
• Ryan Anthony Yates, M.D.
• Mary Abigail York, M.S., P-LPC
• Cheryl K Young, PMHNP
• Emilee C. Young, NP
• John Young
• Ladonna Brequia Young

• Professional Counselor in Oxford, MS
• Providers in Oxford, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.