Active NPI
Nelly Chee-Yan Yuen, LPC
- Psychologist
- Fort Worth, TX
National Provider Identifier
1972876324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 39012
- Practice address
- 1500 S Main St FL 4
Fort Worth, TX 76104-4917 - Phone
- (817) 702-1100
- NPI assigned
- Feb 15, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 67699 | TX | |
| Psychologist | 103T00000X | 39012 | TX | Primary |
Addresses
Primary practice location
1500 S Main St FL 4
Fort Worth, TX 76104-4917
Mailing address
200 W Magnolia Ave Ste 201
Ft Worth, TX 76104-7657
Phone (178) 702-2977
Other practice location 1
5000 Legacy Dr Ste 400
Plano, TX 75024-3112
Phone (469) 307-4379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67699 | TX | MD | Professional Counselor |
| 39012 | TX | MD | General Practice Dentistry |
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1972876324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W MAGNOLIA AVE STE 201",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761047657",
"telephone_number": "178-702-2977",
"fax_number": "972-473-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST FL 4",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-702-1100"
}
],
"practiceLocations": [
{
"address_1": "5000 Legacy Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750243112",
"country_code": "US",
"telephone_number": "469-307-4379",
"fax_number": "972-473-7699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUEN",
"first_name": "NELLY",
"middle_name": "CHEE-YAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67699",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "39012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.