Charles Jason Yates, LCSW, LCAS, CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1548 Issued in NC

Practice address

102 Chestnut Dr
High Point, NC 27262-6804

Phone

(336) 991-1567

Fax

(336) 886-4160

NPI assigned

Nov 5, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1962739474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EDGEVIEW RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272604319",
            "telephone_number": "336-991-1567",
            "fax_number": "336-886-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHESTNUT DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272626804",
            "telephone_number": "336-991-1567",
            "fax_number": "336-886-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "CHARLES",
        "middle_name": "JASON",
        "credential": "LCSW, LCAS, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1548",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Mary Yakel
• Stacy Yancey, CRNA
• Nouchee Yang, PHARMD
• Diana Walker Yarber, MSW, LCAS, LCSW-A
• Mohammad Yasin
• Rebecca Lynn Yates, CNM
• Beverly J Yercheck, ANPC
• Breanna Yoakum
• John Spencer Yoakum, O.D.
• Adriana Nicole Yon, PH.D.

• Addiction (Substance Use Disorder) Counselor in High Point, NC
• Providers in High Point, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.