Individual provider Active NPI

Katherine Yonclas, M.A., LPCA

  • Professional Counselor
  • Statesville, NC
National Provider Identifier
1881030955
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A9889 Issued in NC
Practice address
913 N Carolina Ave
Statesville, NC 28677-3414
Phone
(704) 871-0934
Fax
(704) 402-1065
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A9889 NC Primary

Addresses

Primary practice location

913 N Carolina Ave
Statesville, NC 28677-3414

Mailing address

913 N Carolina Ave
Statesville, NC 28677-3414
Phone (704) 871-0934

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

LicenseStateTypeSpecialty
A9889NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1881030955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N CAROLINA AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773414",
            "telephone_number": "704-871-0934",
            "fax_number": "704-402-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N CAROLINA AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773414",
            "telephone_number": "704-871-0934",
            "fax_number": "704-402-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONCLAS",
        "first_name": "KATHERINE",
        "credential": "M.A., LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.