Individual provider Active NPI

Richard Yates, LPC

  • Mental Health Counselor
  • Anniston, AL
National Provider Identifier
1366443038
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2024 Issued in AL
Practice address
1302 Noble Street
Ste. 3D
Anniston, AL 36201-4678
Phone
(256) 546-9265
Fax
(256) 549-0376
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2024 AL Primary

Addresses

Primary practice location

1302 Noble Street
Ste. 3D
Anniston, AL 36201-4678

Mailing address

3001 Scenic Hwy
Gadsden, AL 35904-3047
Phone (256) 546-9265

Other identifiers 1

IdentifierTypeStateIssuer
2024OtherALLPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228001872 AL Practitioner - Mental Health Counselor 3173968237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grayson and Associates PCGroup PAC ID 9032108253, 65 clinicians

Practice addresses (Care Compare)

801 Noble St
Suite 400
Anniston, AL 36201-5698
Phone (256) 770-4083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grayson and Associates PC CurrentSince Jan 7, 2024 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Locations

801 Noble St
Ste 400
Anniston, AL 36201
Phone (256) 405-9097

2200 Lakeshore Dr
Ste 150
Homewood, AL 35209
Phone (205) 397-4774

100 Concourse Pkwy
Ste 101
Hoover, AL 35244
Phone (205) 444-0420

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1366443038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SCENIC HWY",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359043047",
            "telephone_number": "256-546-9265",
            "fax_number": "256-549-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 NOBLE STREET",
            "address_2": "STE. 3D",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014678",
            "telephone_number": "256-546-9265",
            "fax_number": "256-549-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "RICHARD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "2024",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.