Organization Active NPI

Y-Therapy

  • Professional Counselor
  • Spartanburg, SC
National Provider Identifier
1356856769
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
Y-THERAPY
Practice address
561 E Main St
Spartanburg, SC 29302-1946
Phone
(864) 680-9189
NPI assigned
Dec 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Ms. Yakeia FullenwinderNPI 1619218914
Title
Licensed Profesional Counselor
Phone
(864) 680-9189

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X SC Primary

Addresses

Primary practice location

561 E Main St
Spartanburg, SC 29302-1946

Mailing address

431 Fox Run TRL
Woodruff, SC 29388-9812
Phone (864) 680-9189

Other practice location 1

561 E Main St
Spartanburg, SC 29302-1946
Phone (864) 680-9189

Other identifiers 3

IdentifierTypeStateIssuer
GP8157MedicaidSC
GP8165MedicaidSC
PC1880MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1356856769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 FOX RUN TRL",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889812",
            "telephone_number": "864-680-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021946",
            "telephone_number": "864-680-9189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "561 E Main St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021946",
            "country_code": "US",
            "telephone_number": "864-680-9189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "Y-THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "FULLENWINDER",
        "authorized_official_first_name": "YAKEIA",
        "authorized_official_title_or_position": "LICENSED PROFESIONAL COUNSELOR",
        "authorized_official_telephone_number": "864-680-9189",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8157",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8165",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1880",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.