Laura Peek Yacko, PHD, HSPP

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

20043808B Issued in IN

Practice address

1 Burden CT
Alexandria, IN 46001-2632

Phone

(765) 298-6436

NPI assigned

Jun 8, 2015

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Laura Ellen Peek Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jane Pauley Community Health Center IncGroup PAC ID 7618152729, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Jane Pauley Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1730488818
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1982084620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N MITTHOEFER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BURDEN CT",
            "city": "ALEXANDRIA",
            "state": "IN",
            "postal_code": "460012632",
            "telephone_number": "765-298-6436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460161693",
            "country_code": "US",
            "telephone_number": "765-253-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "IN",
            "postal_code": "460011809",
            "country_code": "US",
            "telephone_number": "765-291-5815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YACKO",
        "first_name": "LAURA",
        "middle_name": "PEEK",
        "name_prefix": "Dr.",
        "credential": "PHD, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20043808B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "PEEK",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy Ann Sizelove, LICENSED HEARING SP.
• Jessica Halie Stewart, RBT
• Amanda R Tucker, FNP-C
• Kelly Williams
• Witham Memorial Hospital (Alexandria Care Center)
• Mitchel Yeagy
• Ashley J Zimmerman, RNC, IBCLC

• Health Service Psychologist in Alexandria, IN
• Providers in Alexandria, IN by specialty
• Health Service Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.