Active NPI
Y-Therapy
- Professional Counselor
- Spartanburg, SC
National Provider Identifier
1356856769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yakeia Fullenwinder
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP8157 | Medicaid | SC | |
| GP8165 | Medicaid | SC | |
| PC1880 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Greenville, SC
- NPI 1619218914
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.