Chad Yarborough, MA, MDIV, P-LPC
Counselor in Brookhaven, MS. Individual provider (NPI-1).
NPI number1750101523
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1750101523
- Entity type
- Individual (NPI-1)
- Name
- Chad Yarborough
- Credential
- MA, MDIV, P-LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2024
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | P-0908 | MS | Yes |
Practice location
230 W Court StreetBrookhaven, MS 39601
Phone 601-207-9531
Mailing address
230 W Court StreetBrookhaven, MS 39601
Phone 601-207-9531
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Counselor providers in Brookhaven · All 474 providers in Brookhaven
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