Individual provider Active NPI

Yolanda Beverly Carter, MS, LMHC, MCAP

  • Mental Health Counselor
  • Longwood, FL
National Provider Identifier
1801134242
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 13151 Issued in FL
Practice address
300 N Ronald Reagan Blvd Ste 309
Longwood, FL 32750-5902
Phone
(689) 249-1809
NPI assigned
Jan 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X ADC-012596-2016 FL
Mental Health Counselor 101YM0800X MH 13151 FL Primary

Addresses

Primary practice location

300 N Ronald Reagan Blvd Ste 309
Longwood, FL 32750-5902

Mailing address

300 N Ronald Reagan Blvd Ste 309
Longwood, FL 32750-5902
Phone (689) 249-1809

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
MH 13151FLMDMental Health Counselor
ADC-012596-2016FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Possibility Junction LLC Mental Health CurrentSince Aug 18, 2024 Accepting new patients

Locations

300 N Ronald Reagan Blvd
Ste 309
Longwood, FL 32750
Phone (689) 249-1809

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, 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": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1801134242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N RONALD REAGAN BLVD STE 309",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505902",
            "telephone_number": "689-249-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N RONALD REAGAN BLVD STE 309",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505902",
            "telephone_number": "689-249-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "YOLANDA",
        "middle_name": "BEVERLY",
        "credential": "MS, LMHC, MCAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "ADC-012596-2016",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.