Individual provider Active NPI

Yolanda Urena

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1063806495
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7579 Issued in SC
Practice address
12 Pelham Rd
Greenville, SC 29615-2142
Phone
(864) 735-7675
Fax
(864) 752-1333
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7579 SC Primary
Professional Counselor 101YP2500X TPMC1643 FL

Addresses

Primary practice location

12 Pelham Rd
Greenville, SC 29615-2142

Mailing address

12 Pelham Rd Ste a
Greenville, SC 29615-2142
Phone (864) 735-7675

Other practice location 1

12 Pelham Rd Ste A
Greenville, SC 29615-2142
Phone (864) 735-7675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217002287 SC Practitioner - Mental Health Counselor 0446770747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Innovation Counseling ServicesGroup PAC ID 9830515535, 4 clinicians

Practice addresses (Care Compare)

955 W Wade Hampton Blvd
Suite 3B
Greer, SC 29650-1296
Phone (864) 334-5019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7579SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innovation Counseling Services Professional CurrentSince Dec 31, 2024 Accepting new patients

Locations

955 W Wade Hampton Blvd
Ste 3B
Greer, SC 29650
Phone (864) 324-5019

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1063806495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PELHAM RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152142",
            "telephone_number": "864-735-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152142",
            "telephone_number": "864-735-7675",
            "fax_number": "864-752-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Pelham Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296152142",
            "country_code": "US",
            "telephone_number": "864-735-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URENA",
        "first_name": "YOLANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7579",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "TPMC1643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.