JAKE D YERMINI AMFT
NPI 1114408127
Marriage & Family Therapist in Fresno, CA

Active since August 27, 2018PECOS Enrolled
4545 N WEST AVE, FRESNO, CA 93705(559) 229-3561 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2018, Aug 27, 2018 (2 updates tracked since 2018).

About Jake D Yermini Amft NPPES

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

JAKE D YERMINI AMFT (NPI 1114408127) is an individual marriage & family therapist in Fresno, California, licensed in California (106768) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114408127
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJAKE D YERMINICredential: AMFT
Location Address4545 N WEST AVEFresno, CA 93705-0946
Mailing Address4545 N West AveFresno, CA 93705-0946 · (559) 229-3561
Sole ProprietorNo
Enumeration DateAugust 27, 2018
Last NPPES UpdateSeptember 12, 20182 updates tracked since enumeration
✔ NPI 1114408127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 106768
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4545 N WEST AVE, Fresno, CA 93705

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jake D Yermini Amft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jake Yermini reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marriage & Family Therapist
2068 ORANGE TREE LN STE 216
Redlands, CA 92374
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
4545 N WEST AVE
FRESNO, CA 93705
Day Training/Habilitation Specialist
4545 N WEST AVE
FRESNO, CA 93705
Marriage & Family Therapist
4545 N WEST AVE
FRESNO, CA 93705
Marriage & Family Therapist
4545 N WEST AVE
FRESNO, CA 93705
Counselor (Mental Health)
4545 N WEST AVE
FRESNO, CA 93705
Marriage & Family Therapist
4545 N WEST AVE
FRESNO, CA 93705
Marriage & Family Therapist
4545 N WEST AVE
FRESNO, CA 93705
Case Manager/Care Coordinator
4545 N WEST AVE
FRESNO, CA 93705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Yermini's NPI number?

The NPI number for Jake Yermini is 1114408127. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Jake Yermini located?

Jake Yermini practices at 4545 N West Ave, Fresno, CA 93705. The listed phone number is (559) 229-3561.

What is Jake Yermini's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jake Yermini enrolled in Medicare?

Yes. Jake Yermini is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jake Yermini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Yermini reassigns Medicare benefits to Spring To Autumn Family Counseling, Inc. (Redlands, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Yermini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jake Yermini was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.