Roxanne Yates, TCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

266576 Issued in KY

Practice address

1115 Garvin PL
Louisville, KY 40203-3178

Phone

(502) 910-0534

NPI assigned

Dec 4, 2020

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

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 and National Provider Directory roles.

• Bridge the Gap Addiction and Mental Health Services

  • Addiction (Substance Use Disorder) Counselor
  • Louisville, KY
  • NPI 1639560915
  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1649875758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 S BROOK ST APT 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402034313",
            "telephone_number": "502-910-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GARVIN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402033178",
            "telephone_number": "502-910-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "ROXANNE",
        "credential": "TCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "266576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret Ann Yates, APRN
• Neal Yates
• Nicholas Edwin Yates, MD
• Rita Yates
• Robert Brandon Yates
• Trista Grace Yates
• Victoria A Yatsuknenko, PA-C
• Eli Yazigi
• Lu Ye, MD
• David R Yeager, PA

• Addiction (Substance Use Disorder) Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.