Individual provider Active NPI

Emily Yang, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1891325379
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003696A Issued in IN
Practice address
5401 S East St Ste 205B
Indianapolis, IN 46227-2093
Phone
(317) 525-2861
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39003696A IN Primary

Addresses

Primary practice location

5401 S East St Ste 205B
Indianapolis, IN 46227-2093

Mailing address

5496 Tracey Jo CT
Greenwood, IN 46142-9690
Phone (317) 525-2861

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emilyyang@profoundpurposecounseling.com Direct

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

State licenses

LicenseStateTypeSpecialty
39003696AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Profound Purpose Counseling LLC Mental Health CurrentSince Dec 16, 2020 Accepting new patients

Locations

1701 Library Blvd
Ste E
Greenwood, IN 46142
Phone (317) 887-6308

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1891325379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5496 TRACEY JO CT",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429690",
            "telephone_number": "317-525-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S EAST ST STE 205B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272093",
            "telephone_number": "317-525-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "EMILY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003696A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilyyang@profoundpurposecounseling.com",
            "affiliation": "N",
            "endpointDescription": "LLC email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5401 S East St Ste 205B",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462272093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.