Individual provider Active NPI

Laurel Olivia Yoder

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1750016408
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
266076 Issued in KY
Practice address
3843 Blue Bonnet Dr
Lexington, KY 40514-1612
Phone
(859) 967-6302
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 266076 KY Primary

Addresses

Primary practice location

3843 Blue Bonnet Dr
Lexington, KY 40514-1612

Mailing address

3843 Blue Bonnet Dr
Lexington, KY 40514-1612
Phone (859) 967-6302

Other identifiers 2

IdentifierTypeStateIssuer
12072OtherMUSIC THERAPIST BOARD CERTIFICATION
266076OtherKYLICENSED PROFESSIONAL COUNSELOR ASSOCIATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502002773 KY Practitioner - Mental Health Counselor 5698292613 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Counseling Center, LLC Counselor CurrentSince Jun 20, 2025 Accepting new patients
Roaring Brook LLC CurrentSince Apr 28, 2025 Accepting new patients

Locations

600 Perimeter Dr
Ste 125
Lexington, KY 40517
Phone (866) 678-8123

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1750016408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3843 BLUE BONNET DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141612",
            "telephone_number": "859-967-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3843 BLUE BONNET DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141612",
            "telephone_number": "859-967-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "LAUREL",
        "middle_name": "OLIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "266076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUSIC THERAPIST BOARD CERTIFICATION",
            "identifier": "12072",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR ASSOCIATE LICENSE NUMBER",
            "identifier": "266076",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.