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YOLONDA M. EDGERTON SAC
NPI 1184740151
Social Worker - Clinical in Houston, TX

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
6430 RICHMOND AVE STE 420, HOUSTON, TX 77057(252) 679-6605 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2021, May 21, 2021, Apr 2, 2021 and 1 more (4 updates tracked since 2020).

About Yolonda M. Edgerton Sac NPPES

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

YOLONDA M. EDGERTON SAC (NPI 1184740151) is an individual clinical provider in Houston, Texas, licensed in North Carolina (C008676) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184740151
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameYOLONDA M. EDGERTONCredential: SAC
Location Address6430 RICHMOND AVE STE 420Houston, TX 77057-5920
Mailing Address3733 Althorp DrRaleigh, NC 27616-8457 · (252) 679-6605
Phone(252) 679-6605
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 22, 2007
Last NPPES UpdateJune 11, 20214 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1184740151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C008676✔ Licensed in VA · 0904009176
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0718000454 (VA), 1912 (NC)
Also ListedSocial WorkerTaxonomy 104100000X · License C008676 (NC)
6430 RICHMOND AVE STE 420, Houston, TX 77057
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yolonda M. Edgerton Sac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830322817
PECOS Enrollment IDI20210415001961
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

3

Medicare enrollment records show Yolonda Edgerton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sigma Health Services LLC
1,067 mi
Community/Behavioral Health
1001 NAVAHO DR STE GL150
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1962643270 (919) 868-0084
Integrated Behavioral Health, LLC
1,239 mi
Adult Mental Health
4200 FORBES BLVD
Lanham, MD 20706
  • Reassigned Medicare billing, District of Columbia enrollment
  • 4 clinicians in this Medicare group
NPI 1780332346 (202) 627-6932
Advanced Social Care Inc
1,259 mi
Community/Behavioral Health
312 N CHARLES ST STE 300
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
NPI 1811367352 (919) 808-2305

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.24 – $176.98
Typical copayment $0.00 (range $14.56 – $44.24)
Most-billed visit code NA
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Yolonda Edgerton's NPI number?

The NPI number for Yolonda Edgerton is 1184740151. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Yolonda Edgerton located?

Yolonda Edgerton practices at 6430 Richmond Ave Ste 420, Houston, TX 77057. The listed phone number is (252) 679-6605.

What is Yolonda Edgerton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Yolonda Edgerton enrolled in Medicare?

Yes. Yolonda Edgerton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Yolonda Edgerton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yolonda Edgerton reassigns Medicare benefits to 3 organizations: Sigma Health Services LLC (Raleigh, NC), Integrated Behavioral Health, LLC (Lanham, MD) and Advanced Social Care Inc (Baltimore, MD). 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 Yolonda Edgerton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yolonda Edgerton accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Yolonda Edgerton 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 Yolonda Edgerton was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.