Active NPI
Abigail Jennifer Yearsley, LPC
- Professional Counselor
- Manheim, PA
National Provider Identifier
1770104432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012345
- Practice address
- 25 N Penn St
Manheim, PA 17545-1428 - Phone
- (717) 725-5886
- NPI assigned
- May 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012345 | PA | Primary |
Addresses
Primary practice location
25 N Penn St
Manheim, PA 17545-1428
Mailing address
25 N Penn St
Manheim, PA 17545-1428
Phone (717) 725-5886
Other practice location 1
2501 Oregon Pike
Lancaster, PA 17601-4890
Phone (717) 735-1954 ext. 1052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012345 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1770104432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N PENN ST",
"city": "MANHEIM",
"state": "PA",
"postal_code": "175451428",
"telephone_number": "717-725-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N PENN ST",
"city": "MANHEIM",
"state": "PA",
"postal_code": "175451428",
"telephone_number": "717-725-5886"
}
],
"practiceLocations": [
{
"address_1": "2501 Oregon Pike",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176014890",
"country_code": "US",
"telephone_number": "717-735-1954 x1052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEARSLEY",
"first_name": "ABIGAIL",
"middle_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-04",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manheim, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.