Active NPI
Kyle Eugene Yoder, LPC
- Professional Counselor
- Beckley, WV
National Provider Identifier
1093435950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2749
- Practice address
- 1409 Maxwell Hill Rd
Beckley, WV 25801-2325 - Phone
- (602) 402-4185
- NPI assigned
- Aug 31, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2749 | WV | Primary |
Addresses
Primary practice location
1409 Maxwell Hill Rd
Beckley, WV 25801-2325
Mailing address
1409 Maxwell Hill Rd
Beckley, WV 25801-2325
Phone (602) 402-4185
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 |
|---|---|---|---|
| 2749 | WV | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1093435950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 MAXWELL HILL RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012325",
"telephone_number": "602-402-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 MAXWELL HILL RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012325",
"telephone_number": "602-402-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "KYLE",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "2749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.