Individual provider Active NPI

Yvonne Dykes Hartig, M.S., LPC

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1104835867
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC000473 Issued in GA
Practice address
100 Katelyn Cir
Suite B
Warner Robins, GA 31088-6481
Phone
(478) 953-2122
Fax
(478) 953-2060
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC000473 GA Primary

Addresses

Primary practice location

100 Katelyn Cir
Suite B
Warner Robins, GA 31088-6481

Mailing address

600 Forrest Dr
Fort Valley, GA 31030-3550
Phone (478) 825-7153

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC000473GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1104835867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FORREST DR",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310303550",
            "telephone_number": "478-825-7153",
            "fax_number": "478-953-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KATELYN CIR",
            "address_2": "SUITE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886481",
            "telephone_number": "478-953-2122",
            "fax_number": "478-953-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTIG",
        "first_name": "YVONNE",
        "middle_name": "DYKES",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC000473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.