1. Home
  2. Directory
  3. South Carolina
  4. Greenville
  5. Counselor
  6. NPI Profile

YAKEIA FULLENWINDER
NPI 1619218914
Counselor - Professional in Greenville, SC

Active since March 12, 2013PECOS Enrolled
975 W FARIS RD, GREENVILLE, SC 29605(864) 729-8330 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Mar 30, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Yakeia Fullenwinder NPPES

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

YAKEIA FULLENWINDER (NPI 1619218914) is an individual professional provider in Greenville, South Carolina, licensed in South Carolina (6693) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619218914
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameYAKEIA FULLENWINDER
Location Address975 W FARIS RDGreenville, SC 29605-4241
Mailing Address431 Fox Run TrlWoodruff, SC 29388-9812 · (864) 680-9189
Phone(864) 729-8330
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 12, 2013
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1619218914 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 SC · 6693
975 W FARIS RD, Greenville, SC 29605
Open in Google Maps ↗

Other Identifiers 3

MedicaidGP8165SC
MedicaidGP8157SC
MedicaidPC1880SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yakeia Fullenwinder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608371877
PECOS Enrollment IDI20250926003375
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JANETTE FIGUEROA APRN
Nurse Practitioner (Family)
975 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 729-8330
NEW HORIZON FAMILY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
975 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 729-8330
NOVA CHART PHARMD
Pharmacist
975 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 729-8330
KAILEY DENAJAH MATTISON
Pharmacist (Ambulatory Care)
975 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 729-8330
HONG CONG VO PA
Physician Assistant
975 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 729-8330
DIANA LOFFREDO LCSW
Counselor (Mental Health)
975 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 729-8330
RACHEL A ETWARU PHARMD
Pharmacist
975 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 729-8330
SHARON NICOLE GUERRA DNP, MBA, FNP-BC
Nurse Practitioner (Family)
975 W FARIS RD
GREENVILLE, SC 29605
Greenville County (864) 729-8330

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 Yakeia Fullenwinder's NPI number?

The NPI number for Yakeia Fullenwinder is 1619218914. It was assigned to this individual provider in the NPPES registry on March 12, 2013.

Where is Yakeia Fullenwinder located?

Yakeia Fullenwinder practices at 975 W Faris Rd, Greenville, SC 29605. The listed phone number is (864) 729-8330.

What is Yakeia Fullenwinder's specialty?

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

Is Yakeia Fullenwinder enrolled in Medicare?

Yes. Yakeia Fullenwinder is registered in the Medicare PECOS enrollment system.

What insurance does Yakeia Fullenwinder accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Yakeia Fullenwinder 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 Yakeia Fullenwinder was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.