Individual provider Active NPI

Vickie Rhea Yearwood, M.S., LPC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1699982504
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2393 Issued in OK
Practice address
1209 Sovereign Row
Oklahoma City, OK 73108-1824
Phone
(405) 942-5570
Fax
(405) 942-5603
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2393 OK Primary

Addresses

Primary practice location

1209 Sovereign Row
Oklahoma City, OK 73108-1824

Mailing address

4617 W Nicklas Ave
Apt. B
Oklahoma City, OK 73132-6919
Phone (405) 414-0412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2393OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Alternatives for Families and Youth Past Accepting new patients
Safy Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699982504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 W NICKLAS AVE",
            "address_2": "APT. B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731326919",
            "telephone_number": "405-414-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SOVEREIGN ROW",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081824",
            "telephone_number": "405-942-5570",
            "fax_number": "405-942-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARWOOD",
        "first_name": "VICKIE",
        "middle_name": "RHEA",
        "name_prefix": "Dr.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.