Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Yakeia Fullenwinder

Individual provider Professional Counselor · NPI 1619218914

Yakeia Fullenwinder is a Mental Health Counselor in Greenville, South Carolina. Qualified in 2013, 13 years ago. Practices as a sole proprietor. Licensed in South Carolina.

Years since qualifying
13
Licensed in
SC
In the registry since
2013
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Practice location Address checks out

975 W Faris Rd
Greenville, SC 29605-4241
Phone: (864) 729-8330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6693 (SC)

Record details

NPI number1619218914
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2013
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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