NPIMap

Organization Active NPI

Yelvertons Enrichment Services Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1720136930
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YELVERTONS ENRICHMENT SERVICES INC
Practice address
4805 Green Rd Ste 103
Raleigh, NC 27616-2848
Phone
(919) 872-6220
Fax
(919) 872-6223
NPI assigned
Jan 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Vickie Smith Yelverton, MSA
Title
Ceo
Phone
(919) 872-6220

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X MHL040029 NC
Community/Behavioral Health Agency 251S00000X MHL-040-040 NC
Community/Behavioral Health Agency 251S00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-098-137 NC
Mental Illness Community Based Residential Treatment Facility 320800000X MHL040029 NC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-040-042 NC

Addresses

Primary practice location

4805 Green Rd Ste 103
Raleigh, NC 27616-2848

Mailing address

4805 Green Rd Ste 103
Raleigh, NC 27616-2848
Phone (919) 872-6220

Other practice location 1

2014 Litho Pl
Fayetteville, NC 28304-2518
Phone (910) 703-8402

Other practice location 2

662 N Spence Ave
Goldsboro, NC 27534-4233
Phone (252) 520-2116

Other practice location 3

5805 Departure Dr Ste 130
Raleigh, NC 27616-1859
Phone (919) 872-6220

Other identifiers 19

IdentifierTypeStateIssuer
8301452RMedicaidNC
8303285VMedicaidNC
3418215MedicaidNC
6008081MedicaidNC
7805980MedicaidNC
8303033VMedicaidNC
8303291HMedicaidNC
8301452BMedicaidNC
5914358MedicaidNC
8303033MedicaidNC
8303033HMedicaidNC
8303285HMedicaidNC
8301452MedicaidNC
8301452SMedicaidNC
8301452VMedicaidNC
8303285MedicaidNC
8303291MedicaidNC
6604382MedicaidNC
8301452HMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130531000397 NC Part B Supplier - Clinic/Group Practice 1850539966 Receives reassigned benefits from 8 practitioners
Practice locations: Durham, NC; Wilson, NC; Fayetteville, NC; Raleigh, NC

National Provider Directory

National Provider Directory
Tax ID family
Yelvertons Enrichment Services Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

210 E Arrowhead Dr
Ste 1
Charlotte, NC 28213
Phone (704) 599-4442

662 N Spence Ave
Goldsboro, NC 27534
Phone (919) 988-6620

3407 W Wendover Ave
Ste D
Greensboro, NC 27407
Phone (336) 589-1223

220 Wintergreen Dr
Ste C
Lumberton, NC 28358
Phone (910) 738-4120

5805 Departure Dr
Ste 130
Raleigh, NC 27616
Phone (919) 872-6220

5700 Six Forks Rd
#101102
Raleigh, NC 27609
Phone (919) 841-5609

17 Noble St
Smithfield, NC 27577
Phone (919) 300-1836

2305 Wellington Dr SW
Wilson, NC 27893
Phone (252) 281-5088

3606 Eagle Point Ln
Wilson, NC 27896
Phone (252) 674-7200

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1720136930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 GREEN RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162848",
            "telephone_number": "919-872-6220",
            "fax_number": "919-872-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 GREEN RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162848",
            "telephone_number": "919-872-6220",
            "fax_number": "919-872-6223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 Litho Pl",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042518",
            "country_code": "US",
            "telephone_number": "910-703-8402",
            "fax_number": "910-703-8674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "662 N Spence Ave",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275344233",
            "country_code": "US",
            "telephone_number": "252-520-2116",
            "fax_number": "252-520-2117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5805 Departure Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276161859",
            "country_code": "US",
            "telephone_number": "919-872-6220",
            "fax_number": "919-872-6223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YELVERTONS ENRICHMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "YELVERTON",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-872-6220",
        "authorized_official_credential": "MSA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL040029",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-040-040",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-098-137",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL040029",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-040-042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301452R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303285V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418215",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008081",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805980",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303033V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303291H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301452B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914358",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303033",
            "state": "NC"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303033H",
            "state": "NC"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303285H",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301452",
            "state": "NC"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301452S",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301452V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303285",
            "state": "NC"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303291",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604382",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301452H",
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        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.