Jeffrey John Yetter, M.ED., LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E3357 Issued in OH

Practice address

1131 Manchester Ave
Middletown, OH 45042-1925

Phone

(513) 423-3327

Fax

(513) 423-3676

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Percy D Mitchell Jr M D and Associates LLCGroup PAC ID 9133226145, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Percy D Mitchell Jr M D & Associates LLC

  • Mental Health Counselor
  • Middletown, OH
  • NPI 1316099674
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851459333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 MANCHESTER AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421925",
            "telephone_number": "513-423-3327",
            "fax_number": "513-423-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 MANCHESTER AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421925",
            "telephone_number": "513-423-3327",
            "fax_number": "513-423-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETTER",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.ED., LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra Wright, APRN
• Jinhui Xu
• Bhanu Prakash Yadiki, M.D.
• Kristina Yauch, LISW-S
• Kimberly Owusu Yeboah, FNP-C
• Jennifer Yinger
• Julia Nicole Yosick, LMT
• Jason Scott Young, CRNA
• David A Youtsler, DC
• Hailey Zecher

• Professional Counselor in Middletown, OH
• Providers in Middletown, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.