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EBONY YELDER LPC
NPI 1053885210
Counselor - Professional in Atlanta, GA

Active since January 21, 2019PECOS Enrolled
3460 KINGSBORO RD NE APT 524, ATLANTA, GA 30326(404) 645-3645 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2020, Jan 21, 2019 (2 updates tracked since 2019).

About Ebony Yelder Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY YELDER LPC (NPI 1053885210) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (LPC003704) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053885210
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEBONY YELDERCredential: LPC
Location Address3460 KINGSBORO RD NE APT 524Atlanta, GA 30326-3305
Mailing Address3460 Kingsboro Rd Ne Apt 524Atlanta, GA 30326-3305 · (404) 645-3645
Phone(404) 645-3645
Sole ProprietorYes
Enumeration DateJanuary 21, 2019
Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1053885210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC003704
3460 KINGSBORO RD NE APT 524, Atlanta, GA 30326
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony Yelder Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ebony Yelder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PA
610 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia and Louisiana enrollments
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Grow Healthcare Group Of New Jersey PC
740 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Yelder's NPI number?

The NPI number for Ebony Yelder is 1053885210. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Ebony Yelder located?

Ebony Yelder practices at 3460 Kingsboro Rd NE Apt 524, Atlanta, GA 30326. The listed phone number is (404) 645-3645.

What is Ebony Yelder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ebony Yelder enrolled in Medicare?

Yes. Ebony Yelder is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ebony Yelder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Yelder reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebony Yelder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebony Yelder accept?

Health plans from CareSource and HMO Louisiana list Ebony Yelder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebony Yelder was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.