Active NPI
Lucy Yang
- Professional Counselor
- Modesto, CA
National Provider Identifier
1689307928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 104365
- Practice address
- 707 14TH St
Modesto, CA 95354-2506 - Phone
- (209) 552-2874
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 104365 | CA | Primary |
Addresses
Primary practice location
707 14TH St
Modesto, CA 95354-2506
Mailing address
707 14TH St
Modesto, CA 95354-2506
Phone (209) 552-2874
Other names 1
- Lucy Yang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104365 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1689307928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 14TH ST",
"city": "MODESTO",
"state": "CA",
"postal_code": "953542506",
"telephone_number": "209-552-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 14TH ST",
"city": "MODESTO",
"state": "CA",
"postal_code": "953542506",
"telephone_number": "209-552-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "LUCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "104365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUCY",
"last_name": "YANG",
"credential": "ASW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.