Yolanda G Wilson, LPC
Individual provider Active NPI Mental Health Counselor · Newport News, VA
NPI 1306162128 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1306162128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 66521 (TX)
- Practice address
- 17579 Warwick Blvd
Newport News, VA 23603-1343 - Phone
- (757) 888-0400
- NPI assigned
- Apr 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hampton Newport News Community Services Board
Practice addresses (Care Compare)
200 Medical Dr a
Hampton, VA 23666-1763
Phone (757) 788-0200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240821000708 | VA | Practitioner - Mental Health Counselor | 8022556026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66521 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Newport News Community Services Board | Current |
Accepting new patients |
Locations
200 Medical Dr
Hampton, VA 23666
Phone (757) 728-0380
300 Medical Dr
Fl 2
Hampton, VA 23666
Phone (757) 788-0092
300 Medical Dr
Hampton, VA 23666
Phone (757) 788-0092
600 Medical Dr
Ste Ab
Hampton, VA 23666
Phone (757) 788-0600
200 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 66521 | TX | Yes |
Addresses
Primary practice location
17579 Warwick Blvd
Newport News, VA 23603-1343
Mailing address
17579 Warwick Blvd
Newport News, VA 23603
Phone (757) 888-0400
Other practice location 1
17720 Corporate Woods Dr
San Antonio, TX 78259-3500
Phone (210) 491-9400
Other providers in Newport News, VA
- Herbert Alexander Wilson III
- Jason Paul Wilson
- Joseph F Wilson
- Lindsey D Wilson
- Rhea C Wilson
- Marguerita Wimberly
- Nana Owusu Winbush
- Kip Winden
- Robert Winfield
- James Taylor Wingo
All providers in Newport News, VA · Mental Health Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.