CHARLES ROBERT YATES JR. (NPI# 1083239735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083239735 |
Entity Type | Individual |
Full Name | CHARLES ROBERT YATES JR. |
Practice Address |
3821 Southern Ave Shreveport LA 71106-1033 |
Practice Telephone | 3189468157 |
Mailing Telephone | 3189468157 |
Enumeration Date | 2020-06-09 |
Last Update Date | 2020-06-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1285998716 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508213018 | Charles Yates | Dentist | 813 Fair Oaks Ave, South Pasadena, CA 91030-2605 | 2016-05-16 |
1871869875 | Charles Wilbur Yates Jr. | Radiology | 1709 Hawthorn Dr, Richmond, TX 77469-4819 | 2012-03-24 |
1811901986 | Charles Robert Yates | Dentist | 425 Emery Dr, Hoover, AL 35244-4567 | 2006-07-27 |
1003195173 | Charles Matthew Yates | Pharmacist | 1 University Park Dr, Nashville, TN 37204-3956 | 2011-08-08 |
1962739474 | Charles Jason Yates | Counselor | 102 Chestnut Dr, High Point, NC 27262-6804 | 2009-11-05 |
1275709958 | Charles W Yates | Otolaryngology | 550 University Boulevard, Suite 3170, Indianapolis, IN 46202-5159 | 2008-05-02 |
1801955422 | Charles E. Yates | Psychiatry & Neurology | 4760 W Sunset Blvd, Los Angeles, CA 90027-6063 | 2006-12-08 |
1417965864 | Charles Arthur Yates | Social Worker | 803 Stadium Dr, Suite 101, Arlington, TX 76011-6246 | 2006-08-03 |
1750334116 | Charles Alan Yates | Otolaryngology | 1510 Florida Ave, Modesto, CA 95350-4437 | 2006-05-18 |
1134112691 | Charles W Yates | Family Medicine | 132 Cayuga Rd, Cheektowaga, NY 14225-1942 | 2005-08-30 |
Street Address |
3821 SOUTHERN AVE |
City | SHREVEPORT |
State | LA |
Zip Code | 71106-1033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285998716 | Active Recovery LLC | Community/Behavioral Health | 3821 Southern Ave, Active Recovery LLC, Shreveport, LA 71106 | 2012-06-29 |
1689211047 | Constance Darby | Social Worker | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2019-12-04 |
1215570650 | Marshall Turner IIi | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2019-10-17 |
1780153270 | Melissa Troy | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2018-11-14 |
1093209967 | Robert Francis Conway Jr. | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2018-06-14 |
1093204554 | Anna-katrina Keco | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2018-05-09 |
1952815458 | Kellye Jean Lewis | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-11-21 |
1992225650 | Kathryn Costello | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-06-23 |
1346786373 | Amanda Veuleman | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-01-14 |
1962865279 | Jeremy Lindsay | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2016-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
Find all providers in zip 71106 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497360887 | Halena Jones | Case Manager/Care Coordinator | 9409 Chaparral Ln, Shreveport, LA 71118-4337 | 2020-09-11 |
1598376196 | Michaela Nicole Bradley | Case Manager/Care Coordinator | 10021 Stratmore Cir, Shreveport, LA 71115-3416 | 2020-08-17 |
1619585791 | Kimberly Bissell | Case Manager/Care Coordinator | 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 | 2020-07-15 |
1902414170 | Unique Lashae Lister | Case Manager/Care Coordinator | 2611 Corbitt St, Shreveport, LA 71108-2805 | 2020-07-14 |
1407474828 | Angela Harris | Case Manager/Care Coordinator | 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 | 2020-07-13 |
1669096921 | Ryan Barham | Case Manager/Care Coordinator | 824 Oneonta St, Shreveport, LA 71106-1130 | 2020-06-02 |
1922621085 | Julian White | Case Manager/Care Coordinator | 8529 Grover Pl, Shreveport, LA 71115-2707 | 2020-05-24 |
1396368817 | Shannon Marie Cannon | Case Manager/Care Coordinator | 1543 Summers St, Shreveport, LA 71108-3131 | 2020-05-19 |
1730701954 | Brianna Mason | Case Manager/Care Coordinator | 1533 Marshall St, Shreveport, LA 71101-3941 | 2020-05-11 |
1295355238 | Angela Rice | Case Manager/Care Coordinator | 2704 Frostwood Dr, Shreveport, LA 71108-5524 | 2020-04-20 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71106 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.