Individual provider Active NPI

Yulanda Kim Belizaire, LPC ASSOCIATE

  • Mental Health Counselor
  • Temple, TX
National Provider Identifier
1912640640
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
84809 Issued in TX
Practice address
5701 Airport Rd Ste L103
Temple, TX 76502-7092
Phone
(254) 724-2585
Fax
(254) 724-1747
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 84809 TX Primary

Addresses

Primary practice location

5701 Airport Rd Ste L103
Temple, TX 76502-7092

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

8308 Daisy Cutter Xing
Georgetown, TX 78626-4768
Phone (571) 294-4031

Other names 1

  • Yulanda Kim Jackson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ybelizaire1438489@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250702002376 TX Practitioner - Mental Health Counselor 0446763379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

5701 Airport Rd
Temple, TX 76502-7092

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Current Accepting new patients
Scott and White Clinic CurrentSince Jun 24, 2025 Accepting new patients
Scott & White Clinic CurrentSince Jun 24, 2025 Accepting new patients
Scott & White Hospital - Taylor PastSince Sep 21, 2025 Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

5701 Airport Rd
Ste L103
Temple, TX 76502
Phone (254) 724-2585

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

Organizations & group practices 4

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": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1912640640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 AIRPORT RD STE L103",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027092",
            "telephone_number": "254-724-2585",
            "fax_number": "254-724-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8308 Daisy Cutter Xing",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786264768",
            "country_code": "US",
            "telephone_number": "571-294-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELIZAIRE",
        "first_name": "YULANDA",
        "middle_name": "KIM",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ybelizaire1438489@direct.sw.org",
            "affiliation": "N",
            "address_1": "5701 Airport Rd Ste L103",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765027092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YULANDA",
            "last_name": "JACKSON",
            "middle_name": "KIM",
            "credential": "LPC ASSOCIATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.