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YOLLA N BADDOUR LMHC
NPI 1770051419
Counselor - Mental Health in Jacksonville, FL

Active since November 12, 2018PECOS EnrolledAccepts Medicare Assignment
10035 BENGAL FOX DR, JACKSONVILLE, FL 32222(516) 306-6497 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2024, Jul 24, 2023, Jan 12, 2020 and 1 more (4 updates tracked since 2018).

About Yolla N Baddour Lmhc NPPES

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

YOLLA N BADDOUR LMHC (NPI 1770051419) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (18668) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770051419
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameYOLLA N BADDOURCredential: LMHC
Location Address10035 BENGAL FOX DRJacksonville, FL 32222-2895
Mailing Address10035 Bengal Fox DrJacksonville, FL 32222-2895 · (516) 306-6497
Phone(516) 306-6497
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 12, 2018
Last NPPES UpdateFebruary 6, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1770051419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · 18668
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
10035 BENGAL FOX DR, Jacksonville, FL 32222
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15776 Saint Augustine RdJacksonville, FL 32207-8046 · Phone (904) 801-9553 · Fax (516) 306-6497
Location 210151 Deerwood Park Blvd Ste 250Jacksonville, FL 32256-0566 · Phone (904) 704-2527

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

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

Yolla N Baddour Lmhc 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 ID1850749813
PECOS Enrollment IDI20231130004022
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

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

ETHEREAL COUNSELING CENTER LLC
Counselor (Mental Health)
10035 BENGAL FOX DR
JACKSONVILLE, FL 32222
Duval County (904) 515-3326

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 Yolla Baddour's NPI number?

The NPI number for Yolla Baddour is 1770051419. It was assigned to this individual provider in the NPPES registry on November 12, 2018.

Where is Yolla Baddour located?

Yolla Baddour practices at 10035 Bengal Fox Dr, Jacksonville, FL 32222. The listed phone number is (516) 306-6497.

What is Yolla Baddour's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Yolla Baddour enrolled in Medicare?

Yes. Yolla Baddour is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Yolla Baddour accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Yolla Baddour as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yolla Baddour was last updated on February 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.