Individual provider Active NPI

Miatta Roberts Yeanay

  • Counselor
  • Glen Allen, VA
National Provider Identifier
1245981588
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0704014058 Issued in VA
Practice address
712 Francis Rd
Glen Allen, VA 23059-4523
Phone
(804) 665-5230
NPI assigned
Jan 18, 2022
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0704014058 VA Primary

Addresses

Primary practice location

712 Francis Rd
Glen Allen, VA 23059-4523

Mailing address

712 Francis Rd
Glen Allen, VA 23059-4523
Phone (804) 665-5230

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
0704014058VAMDCounselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1245981588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 FRANCIS RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594523",
            "telephone_number": "804-665-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 FRANCIS RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594523",
            "telephone_number": "804-665-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEANAY",
        "first_name": "MIATTA",
        "middle_name": "ROBERTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704014058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.