Individual provider Active NPI

Rose Ann Yarborough, M.A.

  • Professional Counselor
  • Southern Pines, NC
National Provider Identifier
1437430394
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8714 Issued in NC
Practice address
185 Wooster Rd
Southern Pines, NC 28387-2354
Phone
(910) 585-9074
Fax
(910) 216-2504
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8714 NC Primary

Addresses

Primary practice location

185 Wooster Rd
Southern Pines, NC 28387-2354

Mailing address

185 Wooster Rd
Southern Pines, NC 28387-2354
Phone (910) 585-9074

Other names 1

  • Rose Ann Moredock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 4, 2024 through Jan 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8714NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harley Grace LLC Professional Past Accepting new patients

Organizations & group practices 1

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1437430394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WOOSTER RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872354",
            "telephone_number": "910-585-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WOOSTER RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872354",
            "telephone_number": "910-585-9074",
            "fax_number": "910-216-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBOROUGH",
        "first_name": "ROSE",
        "middle_name": "ANN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "MOREDOCK",
            "middle_name": "ANN",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.