Active NPI
Yazmin Betzaida Polycarpe, ACSW
- Social Worker
- Tulare, CA
National Provider Identifier
1992951222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 201 N K St
Tulare, CA 93274-4005 - Phone
- (559) 687-0929
- NPI assigned
- Aug 18, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | ||
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | ASW106166 | CA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
201 N K St
Tulare, CA 93274-4005
Mailing address
201 N K St
Tulare, CA 93274-4005
Phone (559) 687-0929
Other practice location 1
5150 N 6th St Ste 169
Fresno, CA 93710-7505
Phone (559) 313-2185
Other practice location 2
109 NW 2nd Ave
Visalia, CA 93291-3672
Phone (559) 627-1490
Other practice location 3
311 E Merced St
Fowler, CA 93625-2316
Phone (559) 892-9452
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 |
|---|---|---|---|
| ASW106166 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prodigy Healthcare Non Profit | Current | Accepting new patients | |
| Prodigy Healthcare Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
311 E Merced St
Fowler, CA 93625
Phone (555) 892-9452
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Fowler, CA
- NPI 1265158661
-
- Addiction (Substance Use Disorder) Counselor
- Selma, CA
- NPI 1487164877
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1992951222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N K ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932744005",
"telephone_number": "559-687-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N K ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932744005",
"telephone_number": "559-687-0929"
}
],
"practiceLocations": [
{
"address_1": "5150 N 6th St Ste 169",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937107505",
"country_code": "US",
"telephone_number": "559-313-2185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 NW 2nd Ave",
"address_purpose": "LOCATION",
"city": "Visalia",
"state": "CA",
"postal_code": "932913672",
"country_code": "US",
"telephone_number": "559-627-1490",
"fax_number": "559-627-1405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "311 E Merced St",
"address_purpose": "LOCATION",
"city": "Fowler",
"state": "CA",
"postal_code": "936252316",
"country_code": "US",
"telephone_number": "559-892-9452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLYCARPE",
"first_name": "YAZMIN",
"middle_name": "BETZAIDA",
"credential": "ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW106166",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.