Active NPI
Jennifer Yun, M.A., LMFT
- Mental Health Counselor
- Hayward, CA
National Provider Identifier
1811489040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 105171
- Practice address
- 409 Jackson St
Hayward, CA 94544-1530 - Phone
- (858) 349-7570
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 105171 | CA | Primary |
Addresses
Primary practice location
409 Jackson St
Hayward, CA 94544-1530
Mailing address
1031 Via Bregani
San Lorenzo, CA 94580-1413
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105171 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1811489040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 VIA BREGANI",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945801413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 JACKSON ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945441530",
"telephone_number": "858-349-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUN",
"first_name": "JENNIFER",
"credential": "M.A., LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "105171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.