Organization Active NPI

Discover You Therapy PLLC

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1053144535
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DISCOVER YOU THERAPY PLLC
Practice address
2154 Clydesmill Rd
Fayetteville, NC 28314-0814
Phone
(803) 236-2932
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tiarra Michelle Myers, PH.D. LCSWNPI 1881009173
Title
Therapist
Phone
(803) 236-2932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2154 Clydesmill Rd
Fayetteville, NC 28314-0814

Mailing address

2154 Clydesmill Rd
Fayetteville, NC 28314-0814
Phone (803) 236-2932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250210000936 NC Part B Supplier - Clinic/Group Practice 6305376112 Receives reassigned benefits from 5 practitioners
Practice locations: Fayetteville, NC
O20260313000156 GA Part B Supplier - Clinic/Group Practice 6305376112 Receives reassigned benefits from 1 practitioner
Practice locations: Hephzibah, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1053144535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 CLYDESMILL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140814",
            "telephone_number": "803-236-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 CLYDESMILL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140814",
            "telephone_number": "803-236-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER YOU THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "TIARRA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "803-236-2932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.