Mary Ann Yaconis, LMHC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

004024 Issued in NY

Practice address

458 Old Niskayuna Rd
Latham, NY 12110-1569

Phone

(518) 867-9118

NPI assigned

Aug 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1689989345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 OLD NISKAYUNA RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101569",
            "telephone_number": "518-867-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 OLD NISKAYUNA RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101569",
            "telephone_number": "518-867-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACONIS",
        "first_name": "MARY ANN",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "004024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Wood, RN
• Cynthia Marie Wormuth, M.A., CCC-SLP
• Deborah Anne Wright, RPA-C
• Samantha Wright, MS, BCBA, LBA
• Fei Yang Xu
• Lisa Marie Yacovoni, DPT
• Jenna Diane Yager, LMHC
• Mary Yager, FNP
• Jing Yang
• Jeffrey Yash, PT

• Counseling Psychologist in Latham, NY
• Providers in Latham, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.