Yelena Drozdov, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3730-125 Issued in WI

Practice address

10500 N Port Washington Rd
Mequon, WI 53092-5585

Phone

(262) 240-0427

Fax

(262) 240-0429

NPI assigned

Mar 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  WI

  Medicare reassignment
• Mequon Labs Inc

  • Clinical Medical Laboratory
  • Mequon, WI
  • NPI 1467612895
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1942470026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925585",
            "telephone_number": "262-240-0427",
            "fax_number": "262-240-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925585",
            "telephone_number": "262-240-0427",
            "fax_number": "262-240-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROZDOV",
        "first_name": "YELENA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3730-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "3730-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Draggoo
• Camrin Jade Dressel, PA-C
• Polly Elizabeth Drew, LCSW, LMFT
• DRJ & Associates, LLC
• Colleen Marie Drosdeck, PSY.D.
• DRS. Larson, Martyn, & Hafner, LLP
• Drugs R US
• Meredith L Drvaric, DNP-FNP, FNP-BC, RN
• Tanya Ducksworth
• Cali Dudgeon, P.A.

• Professional Counselor in Mequon, WI
• Providers in Mequon, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.

Verify at the official NPI Registry.