Active NPI
Charlay Yates, MA, MT-BC, LMHC
- Mental Health Counselor
- Quincy, MA
National Provider Identifier
1801310859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12485
- Practice address
- 859 Willard St Ste 400
Quincy, MA 02169-7469 - Phone
- (857) 269-3752
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12485 | MA | Primary |
| Music Therapist | 225A00000X | 12025 | MA |
Addresses
Primary practice location
859 Willard St Ste 400
Quincy, MA 02169-7469
Mailing address
859 Willard St Ste 400
Quincy, MA 02169-7469
Phone (857) 269-3752
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12485 | MA | MD | Mental Health Counselor |
| 12025 | MA | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falling Up Therapy Services | Current | Accepting new patients |
Locations
859 Willard St
Ste 400
Quincy, MA 02169
Phone (617) 276-3067
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.
-
- Adult Mental Health Clinic/Center
- Quincy, MA
- NPI 1720739550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1801310859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 WILLARD ST STE 400",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697469",
"telephone_number": "857-269-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 WILLARD ST STE 400",
"city": "QUINCY",
"state": "MA",
"postal_code": "021697469",
"telephone_number": "857-269-3752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "CHARLAY",
"credential": "MA, MT-BC, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "12485",
"primary": true
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "MA",
"license": "12025",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.