Active NPI
Yolanda Marie Roberson
- Professional Counselor
- Turlock, CA
National Provider Identifier
1992983639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 60125
- Practice address
- 420 E Canal Dr
Turlock, CA 95380-3936 - Phone
- (209) 664-3635
- NPI assigned
- Feb 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 60125 | CA | Primary |
Addresses
Primary practice location
420 E Canal Dr
Turlock, CA 95380-3936
Mailing address
767 Randall Way
Manteca, CA 95337-8972
Phone (209) 825-6172
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 |
|---|---|---|---|
| 60125 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1992983639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 RANDALL WAY",
"city": "MANTECA",
"state": "CA",
"postal_code": "953378972",
"telephone_number": "209-825-6172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E CANAL DR",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953803936",
"telephone_number": "209-664-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "YOLANDA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "60125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.