Individual provider Active NPI

Tashua Berry Dennis, LICSW, LPC

  • Clinical Social Worker
  • Anniston, AL
National Provider Identifier
1063861003
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5088C Issued in AL
Practice address
1316 Noble St
Anniston, AL 36201-4643
Phone
(256) 236-0221
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3488 AL
Clinical Social Worker 1041C0700X 5088C AL Primary

Addresses

Primary practice location

1316 Noble St
Anniston, AL 36201-4643

Mailing address

308 Wilson Dr SW
Jacksonville, AL 36265-2752
Phone (256) 225-8769

Other practice location 1

2750 Pelham Rd S Unit 4
Anniston, AL 36206-7567
Phone (256) 225-8769

Other practice location 2

308 Wilson Dr SW
Jacksonville, AL 36265-2752
Phone (256) 225-8769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3488ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc CurrentSince Feb 14, 2024 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services Inc CurrentSince Feb 14, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Dennis Counseling Professional Past Accepting new patients

Locations

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

Interoperability endpoints

  • Direct secure messaging: tashuadennis@tdh.allscriptsdirect.net

Organizations & group practices 6

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1063861003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WILSON DR SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652752",
            "telephone_number": "256-225-8769",
            "fax_number": "256-467-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 NOBLE ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014643",
            "telephone_number": "256-236-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 Pelham Rd S Unit 4",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362067567",
            "country_code": "US",
            "telephone_number": "256-225-8769",
            "fax_number": "256-467-8086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Wilson Dr SW",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AL",
            "postal_code": "362652752",
            "country_code": "US",
            "telephone_number": "256-225-8769",
            "fax_number": "256-467-8086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "TASHUA",
        "middle_name": "BERRY",
        "credential": "LICSW, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3488",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5088C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.