NPIMap

Organization Active NPI

Yotaron Enrichment Resource Center

  • Counselor
  • Greenville, NC
National Provider Identifier
1376945816
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11450 Issued in NC
Legal business name
YOTARON ENRICHMENT RESOURCE CENTER
Practice address
3106 S Memorial Drive
Suite B
Greenville, NC 27834
Phone
(252) 916-6048
Fax
(252) 758-4539
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Yolanda Bryant, LPC, LCASANPI 1669866208
Title
Ceo
Phone
(252) 916-6048

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 11450 NC Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3106 S Memorial Drive
Suite B
Greenville, NC 27834

Mailing address

PO Box 31062
Greenville, NC 27833-1062
Phone (252) 916-6048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211108002655 NC Part B Supplier - Clinic/Group Practice 1850780107 Receives reassigned benefits from 7 practitioners
Practice locations: Greenville, NC

National Provider Directory

National Provider Directory

Locations

3106 S Memorial Dr
Ste B
Greenville, NC 27834
Phone (252) 916-6048

235 Commerce St
Ste 12
Greenville, NC 27858
Phone (252) 916-6048

204 N Main St
Tarboro, NC 27886
Phone (252) 916-6048

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1376945816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31062",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278331062",
            "telephone_number": "252-916-6048",
            "fax_number": "252-758-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 S MEMORIAL DRIVE",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-916-6048",
            "fax_number": "252-758-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOTARON ENRICHMENT RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-916-6048",
        "authorized_official_credential": "LPC, LCASA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "11450",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.