Individual provider Active NPI

Raya Lee Yeida, LPGC

  • Mental Health Counselor
  • Millersville, MD
National Provider Identifier
1093407249
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13225 Issued in MD
Practice address
1114 Benfield Blvd
Millersville, MD 21108-2568
Phone
(202) 701-0469
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13225 MD Primary
Counselor 101Y00000X 13255 MD

Addresses

Primary practice location

1114 Benfield Blvd
Millersville, MD 21108-2568

Mailing address

1114 Benfield Blvd
Millersville, MD 21108-2568
Phone (202) 701-0469

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

LicenseStateTypeSpecialty
13255MDMDCounselor
13225MDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1093407249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BENFIELD BLVD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082568",
            "telephone_number": "202-701-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BENFIELD BLVD",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082568",
            "telephone_number": "202-701-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEIDA",
        "first_name": "RAYA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LPGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "13225",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "13255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.