JACQUELEEN DANIELLE YERENA - NPI 1013588516 - Counselor in Victorville, CA

Q: What is Jacqueleen Yerena's NPI number?

The NPI number for Jacqueleen Yerena is 1013588516. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Q: What is Jacqueleen Yerena's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueleen Yerena was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Jacqueleen Danielle Yerena NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELEEN DANIELLE YERENA (NPI 1013588516) is an individual professional provider in Victorville, California, licensed in California (LPCC16642) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013588516

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJACQUELEEN DANIELLE YERENA

Location Address14390 PARK AVEVictorville, CA 92392-2310

Mailing AddressPo Box 402364Hesperia, CA 92340-2364

Phone(442) 327-9311

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 6, 2021

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1013588516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · LPCC16642

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPCC16642 (CA)

14390 PARK AVE, Victorville, CA 92392

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueleen Danielle Yerena is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143758904

PECOS Enrollment IDI20250108001425

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORENCE ALEXANDRIA RUIZ

Psychologist