Organization Active NPI

Myrna Yenter Outpatient Mental Health Services

  • Point of Service
  • North Mankato, MN
National Provider Identifier
1871690214
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
00599 Issued in MN
Legal business name
MYRNA YENTER OUTPATIENT MENTAL HEALTH SERVICES
Practice address
1719 Kathleen Dr
North Mankato, MN 56003-1936
Phone
(507) 345-5281
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Myrna A Yenter, M.S. L.I.C.S.W.
Title
Sole Proprietor, Therapist
Phone
(507) 345-5281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 00599 MN Primary

Addresses

Primary practice location

1719 Kathleen Dr
North Mankato, MN 56003-1936

Mailing address

1719 Kathleen Dr
North Mankato, MN 56003-1936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871690214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 KATHLEEN DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 KATHLEEN DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031936",
            "telephone_number": "507-345-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRNA YENTER OUTPATIENT MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YENTER",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR, THERAPIST",
        "authorized_official_telephone_number": "507-345-5281",
        "authorized_official_credential": "M.S. L.I.C.S.W."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MN",
            "license": "00599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.