Chenoa Yancey, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2102 S Ridgewood Ave Ste 17
Edgewater, FL 32141-4230

Phone

(386) 402-8346

NPI assigned

Nov 15, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1699484048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 S RIDGEWOOD AVE STE 17",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321414230",
            "telephone_number": "386-402-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 S RIDGEWOOD AVE STE 17",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321414230",
            "telephone_number": "386-402-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "CHENOA",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mindfulhealingcounseling.org",
            "affiliation": "Y",
            "affiliationName": "K Ville LLC",
            "address_1": "2102 S Ridgewood Ave Ste 17",
            "city": "Edgewater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321414230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kim Watson, RN
• Waypoint Medical North LLC (Waypoint Home Health Care)
• Merida Williams
• Audra Mary Willsey, LCSW
• Samantha Wunder, D.C.
• Ypd Wellness Inc

• Mental Health Counselor in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.