Individual provider Active NPI

Jasmine Shahrenaz Yahid, LPCC, R-DMT

  • Mental Health Counselor
  • Montrose, CA
National Provider Identifier
1689345696
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7543 Issued in CA
Practice address
2441 Honolulu Ave Ste 120
Montrose, CA 91020-2507
Phone
(310) 876-2656
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7543 CA Primary
Dance Therapist 225600000X 2478 MA

Addresses

Primary practice location

2441 Honolulu Ave Ste 120
Montrose, CA 91020-2507

Mailing address

2441 Honolulu Ave Ste 120
Montrose, CA 91020-2507
Phone (310) 876-2656

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 21, 2025 through May 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7543CAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1689345696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 HONOLULU AVE STE 120",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910202507",
            "telephone_number": "310-876-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 HONOLULU AVE STE 120",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910202507",
            "telephone_number": "310-876-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHID",
        "first_name": "JASMINE",
        "middle_name": "SHAHRENAZ",
        "credential": "LPCC, R-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "7543",
            "primary": true
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "MA",
            "license": "2478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

Verify at the official NPI Registry.