Organization Active NPI

Y Team

  • Mental Health Counselor
  • Richmond, CA
National Provider Identifier
1023364403
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
Y TEAM
Practice address
4175 Lakeside Dr
Richmond, CA 94806-5774
Phone
(510) 262-6551
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Kiraa Eyvone LillardNPI 1487903506
Title
Trainee
Phone
(510) 927-7219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4175 Lakeside Dr
Richmond, CA 94806-5774

Mailing address

1174 Regent St
Apt E
Alameda, CA 94501-5359
Phone (510) 927-7219

National Provider Directory

National Provider Directory
Tax ID family
Y Team2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1023364403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 REGENT ST",
            "address_2": "APT E",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015359",
            "telephone_number": "510-927-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 LAKESIDE DR",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065774",
            "telephone_number": "510-262-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "LILLARD",
        "authorized_official_first_name": "KIRAA",
        "authorized_official_middle_name": "EYVONE",
        "authorized_official_title_or_position": "TRAINEE",
        "authorized_official_telephone_number": "510-927-7219"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.