Individual provider Active NPI

Tysha Pressley, MSED, CRC, LCMHC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1073842480
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7621 Issued in NC
Practice address
7902 Cadmium CT
Charlotte, NC 28215-9408
Phone
(704) 916-9318
Fax
(980) 422-0196
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 225C00000X 00090615 NC
Professional Counselor 101YP2500X 7621 NC Primary

Addresses

Primary practice location

7902 Cadmium CT
Charlotte, NC 28215-9408

Mailing address

7902 Cadmium CT
Charlotte, NC 28215-9408
Phone (917) 916-9115

Other practice location 1

769 N Wendover Rd
Charlotte, NC 28211-1118
Phone (704) 376-7180

Other practice location 2

5501 Executive Center Dr
Suite 101
Charlotte, NC 28212-8866
Phone (917) 916-9115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7621NCMDProfessional Counselor
00090615NCMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Empowerment Services PastSince Oct 4, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1073842480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 CADMIUM CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282159408",
            "telephone_number": "917-916-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 CADMIUM CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282159408",
            "telephone_number": "704-916-9318",
            "fax_number": "980-422-0196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 N Wendover Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111118",
            "country_code": "US",
            "telephone_number": "704-376-7180",
            "fax_number": "704-531-9266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 Executive Center Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128866",
            "country_code": "US",
            "telephone_number": "917-916-9115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESSLEY",
        "first_name": "TYSHA",
        "name_prefix": "Ms.",
        "credential": "MSED, CRC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Counselor",
            "state": "NC",
            "license": "00090615",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.