Samantha Yates, CPSS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

122 Desoto Ave Ste 109
Clarksdale, MS 38614-4440

Phone

(662) 592-5397

Fax

(662) 627-2442

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Delta Compassionate Care Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Clarksdale, MS
  • NPI 1083437958
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1548753205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E RIVER PL STE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023442",
            "telephone_number": "662-592-5397",
            "fax_number": "662-627-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 DESOTO AVE STE 109",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144440",
            "telephone_number": "662-592-5397",
            "fax_number": "662-627-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "CPSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Womans Clinic, a Professional Association
• Brian Andrew Woods, PT
• Linda D Wright, RNC
• Rita Wyatt Wright, M.ED.
• Felicia N Yarbrough, MSW
• Cindy Young
• Felicia Lashay Young, M.S.
• Whitney H Young, FNP-C
• Diane Youngblood, M.ED.
• Zion Hospice and Palliative Services Inc

• Mental Health Counselor in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.