Individual provider Active NPI

Yolanda Patrice Bryant, M.S., LPC, LCAS-A

  • Mental Health Counselor
  • Greenville, NC
National Provider Identifier
1669866208
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11450 Issued in NC
Practice address
3106 S Memorial Dr Ste B
Greenville, NC 27834-6765
Phone
(252) 916-6048
NPI assigned
Mar 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11450 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 21996 NC
Mental Health Counselor 101YM0800X 11450 NC Primary

Addresses

Primary practice location

3106 S Memorial Dr Ste B
Greenville, NC 27834-6765

Mailing address

PO Box 31062
Greenville, NC 27833-1062
Phone (252) 916-6048

Other practice location 1

235 Commerce St
Suite 12
Greenville, NC 27858-9939
Phone (252) 916-6048

Other practice location 2

204 N Main St
Tarboro, NC 27886-5008
Phone (252) 916-6048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240122000297 NC Practitioner - Mental Health Counselor 3678962925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
21996NCMDAddiction (Substance Use Disorder) Counselor
11450NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yotaron Enrichment Resource Center CurrentSince Sep 16, 2014 Accepting new patients

Locations

235 Commerce St
Ste 12
Greenville, NC 27858
Phone (252) 916-6048

3106 S Memorial Dr
Ste B
Greenville, NC 27834
Phone (252) 916-6048

204 N Main St
Tarboro, NC 27886
Phone (252) 916-6048

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1426896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1669866208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31062",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278331062",
            "telephone_number": "252-916-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 S MEMORIAL DR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346765",
            "telephone_number": "252-916-6048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Commerce St",
            "address_2": "SUITE 12",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278589939",
            "country_code": "US",
            "telephone_number": "252-916-6048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 N Main St",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278865008",
            "country_code": "US",
            "telephone_number": "252-916-6048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "YOLANDA",
        "middle_name": "PATRICE",
        "credential": "M.S., LPC, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-21",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11450",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21996",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.