Yakeia Fullenwinder

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6693 Issued in SC

Practice address

975 W Faris Rd
Greenville, SC 29605-4241

Phone

(864) 729-8330

NPI assigned

Mar 12, 2013

Last updated

Apr 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yakeia.fullenwinder.1@10133.direct.athenahealth.com

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.

• New Horizon Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1205949757
  Medicare reassignment NPD
• Life Changing Solutions Group, LLC

  • Professional Counselor
  • Spartanburg, SC
  • NPI 1538674940
  NPD Authorized official
• Y-Therapy

  • Professional Counselor
  • Spartanburg, SC
  • NPI 1356856769
  NPD Authorized official
• New Horizon Family Health Services Inc

  dba New Horizon Family Health Services - Berea

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1629872734
  NPD
• New Horizon Family Health Services, Inc.

  dba New Horizon Family Health Services - Main Site

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1043495526
  NPD
• New Horizon Family Health Services Inc.

  dba Care Team Express Mobile Medical Unit 2

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1356127021
  NPD (past)

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1619218914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 FOX RUN TRL",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889812",
            "telephone_number": "864-680-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 W FARIS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054241",
            "telephone_number": "864-729-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLENWINDER",
        "first_name": "YAKEIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8165",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8157",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1880",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Harrison Fuerst, M.D.
• Yuka Fujii, MD
• James William Fulcher, MD
• John Hampton Fulcher, MD
• Fulcrum Osteopathic Wellness, LLC
• Tanya Fuller-Pellin, FNP
• Audrey Beatrice Fuller, REGISTERED DIETITIAN
• Brittany Regine Fuller
• Catherine Anne Garrett Fuller, CRNA
• Cody Fuller, CPO

• Professional Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.