CHARLES ROBERT YATES JR.


Address: 3821 Southern Ave, Shreveport, LA 71106-1033
Phone: 3189468157

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
LA 1285998716 05

Other Providers CHARLES YATES

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

Office Location

Street Address 3821 SOUTHERN AVE
City SHREVEPORT
State LA
Zip Code 71106-1033

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SHREVEPORT
Zip Code 71106

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Dataset Information

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.

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