Active NPI
Yolanda Redona Coates, LPC
- Professional Counselor
- Union City, GA
National Provider Identifier
1972831907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7628
- Practice address
- 3810 Buffington PL
Union City, GA 30291-5027 - Phone
- (404) 748-3762
- NPI assigned
- Dec 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7628 | NC | Primary |
Addresses
Primary practice location
3810 Buffington PL
Union City, GA 30291-5027
Mailing address
3810 Buffington PL
Union City, GA 30291-5027
Phone (404) 748-3762
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003193773A | Medicaid | GA | |
| 6104370 | Medicaid | NC |
Other names 1
- Yolanda Walker Banja
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7628 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coates-Butler Logistics, LLX | Current | Accepting new patients | |
| Maggie'S Heart Counseling | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Non-emergency Medical Transport (VAN)
- New Orleans, LA
- NPI 1952932261
-
- Professional Counselor
- Union City, GA
- NPI 1205384146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1972831907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 BUFFINGTON PL",
"city": "UNION CITY",
"state": "GA",
"postal_code": "302915027",
"telephone_number": "404-748-3762",
"fax_number": "470-428-6907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 BUFFINGTON PL",
"city": "UNION CITY",
"state": "GA",
"postal_code": "302915027",
"telephone_number": "404-748-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "YOLANDA",
"middle_name": "REDONA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-02",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003193773A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104370",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YOLANDA",
"last_name": "BANJA",
"middle_name": "WALKER",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Union City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.