Individual provider Active NPI

Yolanda Marie Vernon, LCSW

  • School Counselor
  • North Chesterfield, VA
National Provider Identifier
1841821584
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
0904011446 Issued in VA
Practice address
211 Ruthers Rd Ste 103
North Chesterfield, VA 23235-5396
Phone
(804) 920-5178
Fax
(804) 276-4043
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 0904011446 VA Primary

Addresses

Primary practice location

211 Ruthers Rd Ste 103
North Chesterfield, VA 23235-5396

Mailing address

211 Ruthers Rd Ste 103
North Chesterfield, VA 23235-5396
Phone (804) 920-5178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211018000252 VA Practitioner - Clinical Social Worker 7618375932 Reassigns benefits to 1 organization
Practice locations: North Chesterfield, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Churchville, VA 24421
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904011446VAMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1841821584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 RUTHERS RD STE 103",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355396",
            "telephone_number": "804-920-5178",
            "fax_number": "804-276-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 RUTHERS RD STE 103",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355396",
            "telephone_number": "804-920-5178",
            "fax_number": "804-276-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "YOLANDA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "VA",
            "license": "0904011446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.