Individual provider Active NPI

Eugenia Rose Yelen, MMFT

  • Marriage & Family Therapist
  • Mt Juliet, TN
National Provider Identifier
1811527070
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2031 N Mount Juliet Rd Ste 201
Mt Juliet, TN 37122-3316
Phone
(615) 438-3615
Fax
(931) 443-0079
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X TN Primary

Addresses

Primary practice location

2031 N Mount Juliet Rd Ste 201
Mt Juliet, TN 37122-3316

Mailing address

203 Harnett CT
Clarksville, TN 37043-1966
Phone (615) 438-3615

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jennyyelen@connectcounselingcenterllc.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Counseling Center, LLC PastSince Jan 19, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1811527070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HARNETT CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431966",
            "telephone_number": "615-438-3615",
            "fax_number": "931-443-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 N MOUNT JULIET RD STE 201",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223316",
            "telephone_number": "615-438-3615",
            "fax_number": "931-443-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELEN",
        "first_name": "EUGENIA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jennyyelen@connectcounselingcenterllc.com",
            "affiliation": "N",
            "address_1": "2031 N Mount Juliet Rd Ste 201",
            "city": "MT Juliet",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371223316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.