Active NPI
Russell Yost, LMFT
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1861480659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0131
- Practice address
- 904 E Medlock Dr
Phoenix, AZ 85014-3214 - Phone
- (623) 349-1257
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT0388 | AZ | |
| Professional Counselor | 101YP2500X | LPC0131 | AZ | Primary |
Addresses
Primary practice location
904 E Medlock Dr
Phoenix, AZ 85014-3214
Mailing address
904 E Medlock Dr
Phoenix, AZ 85014-3214
Phone (623) 349-1257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2550 W Union Hills Dr
Phoenix, AZ 85027-5163
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0131 | AZ | MD | Professional Counselor |
| LMFT0388 | AZ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Professional | Current | Accepting new patients |
| Christian Family Care Agency, Inc. | Past | Accepting new patients | |
| Christian Family Care | Past | Accepting new patients | |
| Doorways, LLC | Past | Accepting new patients |
Locations
2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Surprise, AZ
- NPI 1487078275
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1215966148
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1609134857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1861480659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E MEDLOCK DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850143214",
"telephone_number": "623-349-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E MEDLOCK DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850143214",
"telephone_number": "623-349-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOST",
"first_name": "RUSSELL",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT0388",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC0131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.