Active NPI
Heather Yakaitis, LPC, BCBA
- Mental Health Counselor
- Allentown, PA
National Provider Identifier
1922396217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC004199
- Practice address
- 701 E Montgomery St
Allentown, PA 18103-5275 - Phone
- (610) 349-1824
- Fax
- (188) 859-7849
- NPI assigned
- Jul 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1096667 | PA | |
| Mental Health Counselor | 101YM0800X | PC004199 | PA | Primary |
Addresses
Primary practice location
701 E Montgomery St
Allentown, PA 18103-5275
Mailing address
701 E Montgomery St
Allentown, PA 18103-5275
Phone (610) 349-1824
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 |
|---|---|---|---|
| PC004199 | PA | MD | Mental Health Counselor |
| 1096667 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E & C Behavioral Consulting Group | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Allentown, PA
- NPI 1538432414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1922396217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E MONTGOMERY ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035275",
"telephone_number": "610-349-1824",
"fax_number": "188-859-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E MONTGOMERY ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035275",
"telephone_number": "610-349-1824",
"fax_number": "188-859-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKAITIS",
"first_name": "HEATHER",
"credential": "LPC, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1096667",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC004199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.