Active NPI
Carolyn Anne Yawn, MA, LMFT
- Marriage & Family Therapist
- Arcata, CA
National Provider Identifier
1720325962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT107833
- Practice address
- 770 10TH St
Arcata, CA 95521-6210 - Phone
- (707) 826-8610
- Fax
- (707) 826-8623
- NPI assigned
- Jan 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMFT107833 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT107833 | CA | Primary |
Addresses
Primary practice location
770 10TH St
Arcata, CA 95521-6210
Mailing address
PO Box 5144
Arcata, CA 95518-5144
Phone (707) 633-3692
Other practice location 1
241 F St Ste 10
Eureka, CA 95501-0450
Phone (707) 633-3692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240214004471 | CA | Practitioner - Marriage and Family Therapist | 3173967411 | Practice locations: Eureka, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Open Door Community Health Centers
Practice addresses (Care Compare)
1150 Foster Ave
Arcata, CA 95521-5986
Phone (707) 826-8610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT107833 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1720325962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5144",
"city": "ARCATA",
"state": "CA",
"postal_code": "955185144",
"telephone_number": "707-633-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 10TH ST",
"city": "ARCATA",
"state": "CA",
"postal_code": "955216210",
"telephone_number": "707-826-8610",
"fax_number": "707-826-8623"
}
],
"practiceLocations": [
{
"address_1": "241 F St Ste 10",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955010450",
"country_code": "US",
"telephone_number": "707-633-3692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAWN",
"first_name": "CAROLYN",
"middle_name": "ANNE",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-08",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LMFT107833",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT107833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.