Individual provider Active NPI

Yvette Smith

  • Professional Counselor
  • Hopkinsville, KY
National Provider Identifier
1457897233
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
260907 Issued in KY
Practice address
290 Burley Ave
Hopkinsville, KY 42240-8725
Phone
(270) 707-2098
Fax
(270) 707-2099
NPI assigned
Jan 17, 2017
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 260907 KY Primary

Addresses

Primary practice location

290 Burley Ave
Hopkinsville, KY 42240-8725

Mailing address

PO Box 614
Hopkinsville, KY 42241-0614
Phone (270) 886-2205

Other practice location 1

2400 Russellville Rd
Hopkinsville, KY 42240
Phone (270) 887-5697

Other practice location 2

737B North Dr
Hopkinsville, KY 42240-2620
Phone (270) 890-1780

Other names 1

  • Yvette Wosley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
260907KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills, Inc. PastSince May 22, 2013 Accepting new patients
Lifeskills, Inc. PastSince Jan 1, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1457897233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410614",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-707-2098",
            "fax_number": "270-707-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Russellville Rd",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "42240",
            "country_code": "US",
            "telephone_number": "270-887-5697",
            "fax_number": "270-887-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "737B North Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422402620",
            "country_code": "US",
            "telephone_number": "270-890-1780",
            "fax_number": "270-890-1792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "260907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVETTE",
            "last_name": "WOSLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.