Individual provider Active NPI

Yazmin Betzaida Polycarpe, ACSW

  • Social Worker
  • Tulare, CA
National Provider Identifier
1992951222
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ASW106166CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prodigy Healthcare Non Profit CurrentSince Oct 23, 2022 Accepting new patients
Prodigy Healthcare Inc. Addiction (Substance Use Disorder) PastSince Jun 1, 2021 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.

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.

Verify at the official NPI Registry.