NPIMap

Organization Active NPI

Yeates Consulting ,LLC

  • Community/Behavioral Health Agency
  • Columbus, MS
National Provider Identifier
1104235951
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1835 Issued in MS
Legal business name
YEATES CONSULTING ,LLC
Practice address
104 Brickerton St
Columbus, MS 39701-3608
Phone
(662) 328-3110
NPI assigned
Aug 6, 2014
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Edward L Yeates, LPCNPI 1700289519
Title
President/Ceo
Phone
(662) 328-3110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1835 MS Primary

Addresses

Primary practice location

104 Brickerton St
Columbus, MS 39701-3608

Mailing address

39 Maid Marion Cir
Columbus, MS 39705-3024
Phone (662) 328-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190430000614 MS Part B Supplier - Clinic/Group Practice 3678815396 Receives reassigned benefits from 8 practitioners
Practice locations: Columbus, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1104235951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MAID MARION CIR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053024",
            "telephone_number": "662-328-3110",
            "fax_number": "662-328-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BRICKERTON ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397013608",
            "telephone_number": "662-328-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEATES CONSULTING ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "YEATES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "662-328-3110",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "1835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.