Individual provider Active NPI

Tanya Rose Hinckle, LPC, LCASA

  • Professional Counselor
  • Mebane, NC
National Provider Identifier
1053747147
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10445 Issued in NC
Practice address
153 Carden PL Apt a
Mebane, NC 27302-6080
Phone
(919) 423-6649
NPI assigned
Sep 20, 2013
Last updated
Apr 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-3570 NC
Professional Counselor 101YP2500X 10445 NC Primary

Addresses

Primary practice location

153 Carden PL Apt a
Mebane, NC 27302-6080

Mailing address

153 Carden PL Apt a
Mebane, NC 27302-6080
Phone (919) 423-6649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828002062 NC Practitioner - Mental Health Counselor 2264971738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of North Carolina at Chapel Hill School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

249 E NC Hwy 54
Suite 320
Durham, NC 27713-2490
Phone (919) 753-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-3570NCMDAddiction (Substance Use Disorder) Counselor
10445NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
B & D Integrated Health Services Current Accepting new patients
B & D Integrated Health Services Addiction (Substance Use Disorder) CurrentSince Jun 22, 2024 Accepting new patients

Locations

249 E NC Highway 54
Ste 320
Durham, NC 27713
Phone (919) 753-1080

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tanya.hinckle.p1@direct.bdihs.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1053747147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 CARDEN PL APT A",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273026080",
            "telephone_number": "919-423-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 CARDEN PL APT A",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273026080",
            "telephone_number": "919-423-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINCKLE",
        "first_name": "TANYA",
        "middle_name": "ROSE",
        "credential": "LPC, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-3570",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

Verify at the official NPI Registry.