Active NPI
Yasmin Evette Gay, PHD, LCAS,LPC, CRC,
- Addiction (Substance Use Disorder) Counselor
- Winston Salem, NC
National Provider Identifier
1083977250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1847
- Practice address
- 725 Highland Ave
Winston Salem, NC 27101-4180 - Phone
- (336) 397-7500
- Fax
- (336) 397-7501
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 001111176 | NC | |
| Professional Counselor | 101YP2500X | 11467 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1847 | NC | Primary |
Addresses
Primary practice location
725 Highland Ave
Winston Salem, NC 27101-4180
Mailing address
1860 Embark Dr
Kernersville, NC 27284-7590
Phone (336) 785-3113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001111176 | NC | MD | Counselor |
| 1847 | NC | MD | Athletic Trainer |
| 11467 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1083977250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 EMBARK DR",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847590",
"telephone_number": "336-785-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HIGHLAND AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271014180",
"telephone_number": "336-397-7500",
"fax_number": "336-397-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "YASMIN",
"middle_name": "EVETTE",
"name_prefix": "Dr.",
"credential": "PHD, LCAS,LPC, CRC,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "001111176",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11467",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.