Active NPI
Katie Yadusky, LCSWA
- Counselor
- Cary, NC
National Provider Identifier
1043837602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- P010737
- Practice address
- 505 Reedy Creek Rd
Cary, NC 27513-4117 - Phone
- (919) 446-4933
- NPI assigned
- Jun 30, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | P010737 | NC | Primary |
Addresses
Primary practice location
505 Reedy Creek Rd
Cary, NC 27513-4117
Mailing address
4108 Wingate Dr
Raleigh, NC 27609-6053
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P010737 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1043837602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 WINGATE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 REEDY CREEK RD",
"city": "CARY",
"state": "NC",
"postal_code": "275134117",
"telephone_number": "919-446-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADUSKY",
"first_name": "KATIE",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "P010737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.