Individual provider Active NPI

Numra Yaqub

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1750942744
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
701 W Broad St Ste 204
Bethlehem, PA 18018-5229
Phone
(484) 954-8327
Fax
(239) 799-7671
NPI assigned
Jun 21, 2019
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 MH16889 FL
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

701 W Broad St Ste 204
Bethlehem, PA 18018-5229

Mailing address

213 McNair Cir
Northampton, PA 18067-9196
Phone (844) 954-8327

Other identifiers 1

IdentifierTypeStateIssuer
105825700MedicaidFL

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

213 McNair Cir
Northampton, PA 18067-9196

433 Walnut CT
Pittsburgh, PA 15237-5502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH16889FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yaqub Counseling Services LLC Professional CurrentSince Oct 1, 2021 Accepting new patients

Locations

5621 Strand Blvd
Ste 311A
Naples, FL 34110

701 W Broad St
Ste 204
Bethlehem, PA 18018
Phone (484) 488-7335

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1750942744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MCNAIR CIR",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180679196",
            "telephone_number": "844-954-8327",
            "fax_number": "239-799-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W BROAD ST STE 204",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185229",
            "telephone_number": "484-954-8327",
            "fax_number": "239-799-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAQUB",
        "first_name": "NUMRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16889",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105825700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.