Active NPI
Jill B Yang, LCMHC
- Professional Counselor
- Melbourne, FL
National Provider Identifier
1902127129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9191
- Practice address
- 2430 Treasure Cay LN
Melbourne, FL 32940-7981 - Phone
- (910) 603-7349
- Fax
- (980) 265-0289
- NPI assigned
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9191 | NC | Primary |
Addresses
Primary practice location
2430 Treasure Cay LN
Melbourne, FL 32940-7981
Mailing address
2430 Treasure Cay LN
Melbourne, FL 32940-7981
Phone (910) 603-7349
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9191 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1902127129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 TREASURE CAY LN",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407981",
"telephone_number": "910-603-7349",
"fax_number": "980-265-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 TREASURE CAY LN",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407981",
"telephone_number": "910-603-7349",
"fax_number": "980-265-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "JILL",
"middle_name": "B",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.