Stephanie Bibby Yeatts, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12838 Issued in NC

Practice address

26 S Broad St
Brevard, NC 28712-3791

Phone

(713) 751-9242

NPI assigned

Jul 21, 2016

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stephanie Yeatts Integrated Counseling & Coaching

  • Community/Behavioral Health Agency
  • Brevard, NC
  • NPI 1285407908
  NPD Authorized official
• New Leaf Behavioral Health

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1508042003

  Mental Health

  NPD (past)
• New Leaf Behavioral Health

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1720313778
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1548613888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 KENTWOOD LN",
            "city": "PISGAH FOREST",
            "state": "NC",
            "postal_code": "287688522",
            "telephone_number": "713-751-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S BROAD ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123791",
            "telephone_number": "713-751-9242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21733 Provincial Blvd Ste 820",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774506536",
            "country_code": "US",
            "telephone_number": "713-751-9242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEATTS",
        "first_name": "STEPHANIE",
        "middle_name": "BIBBY",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12838",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Woods
• Emily Elyse White Wooldridge, LCSW
• WP-Brevard Health Holdings I, LLC (Cedar Mountain House)
• WP-Brevard Health Holdings II, LLC (Kingsbridge House)
• James Francis Wright, MD
• Padma Priya Yelisetty, DDS
• William Richard Zink, PA

• Mental Health Counselor in Brevard, NC
• Providers in Brevard, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.