Tyrone Jerrod Fields (TJ), NCCPSS, CADC-R

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADC-28086 Issued in NC

Practice address

3427 Melrose Rd
Fayetteville, NC 28304-1608

Phone

(910) 864-8739

Fax

(910) 864-8222

NPI assigned

Apr 11, 2023

Last updated

Apr 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1063107472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 MELISSA CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145814",
            "telephone_number": "678-270-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 MELROSE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041608",
            "telephone_number": "910-864-8739",
            "fax_number": "910-864-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS (TJ)",
        "first_name": "TYRONE",
        "middle_name": "JERROD",
        "name_prefix": "Mr.",
        "credential": "NCCPSS, CADC-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CADC-28086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FHPG, LLC (FirstHealth Family Medicine - Pinnacle)
• FHPG, LLC
• FHPG, LLC (FirstHealth Family Medicine - Fayetteville)
• Simone Francine Fiankeu Njatou, LCSW
• Amy Fick, DPT, PT
• April S Fields, D.M.D.
• Cynthia Fields, LPN
• Pedro Miguel Figueiredo Ferreira
• Joel David Figueroa
• Leonardo Figueroa, MD

• Addiction (Substance Use Disorder) Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.