Active NPI
Yodit T. Zerai, ASW 94206
- Mental Health Counselor
- San Bernardino, CA
National Provider Identifier
1013218296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 94206
- Practice address
- 1481 Windsor Dr
San Bernardino, CA 92404-5416 - Phone
- (909) 361-6470
- Fax
- (909) 203-7403
- NPI assigned
- Nov 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 94206 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | 94206 | CA | Primary |
Addresses
Primary practice location
1481 Windsor Dr
San Bernardino, CA 92404-5416
Mailing address
1212 Darlene CT
Redlands, CA 92374-3930
Phone (951) 542-0857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Innovations, Inc | Past | Accepting new patients | |
| Telecare Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1912418930
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1902776107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1013218296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 DARLENE CT",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923743930",
"telephone_number": "951-542-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 WINDSOR DR",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924045416",
"telephone_number": "909-361-6470",
"fax_number": "909-203-7403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERAI",
"first_name": "YODIT",
"middle_name": "T.",
"credential": "ASW 94206",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-04",
"last_updated": "2020-11-30",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "94206",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "94206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.