Organization Active NPI

Yetman Counseling PLLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1891463840
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
YETMAN COUNSELING PLLC
Practice address
1204 The PLZ Ste 4
Charlotte, NC 28205-5078
Phone
(980) 272-7968
NPI assigned
Sep 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Kristy YetmanNPI 1689054025
Title
Owner/Therapist
Phone
(704) 607-0934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1204 The PLZ Ste 4
Charlotte, NC 28205-5078

Mailing address

1204 The PLZ Ste 4
Charlotte, NC 28205-5078
Phone (980) 272-7968

National Provider Directory

National Provider Directory

Locations

1204 The Plaza
Ste 4
Charlotte, NC 28205
Phone (704) 377-0688

Practitioners & affiliated clinicians

Practitioners 1

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": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1891463840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 THE PLZ STE 4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055078",
            "telephone_number": "980-272-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 THE PLZ STE 4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055078",
            "telephone_number": "980-272-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YETMAN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "YETMAN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "704-607-0934"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.