Prentice Counseling & Associates, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PRENTICE COUNSELING & ASSOCIATES, PLLC

Practice address

3972 US Highway 17 Bus E Ste I2
Bolivia, NC 28422-8698

Phone

(704) 960-7050

Fax

(910) 946-6197

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ty Prentice, MA, NCCNPI 1851265631

Title

Owner

Phone

(704) 960-7050

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ty Prentice, MA, NCC

  • Counselor
  • Bolivia, NC
  • NPI 1851265631
  Authorized official Same address or phone

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1134030695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 US HIGHWAY 17 BUS E STE I2",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228698",
            "telephone_number": "704-960-7050",
            "fax_number": "910-946-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 US HIGHWAY 17 BUS E STE I2",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228698",
            "telephone_number": "704-960-7050",
            "fax_number": "910-946-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENTICE COUNSELING & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-960-7050",
        "authorized_official_credential": "MA, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbora Kay Pittman, LCMHC
• Michele Polidoro, MD
• Katherine Kelly Poole, LCSW-A
• Brandi Posey, M.S. CCC-SLP
• James Rosser Powell, MD
• Ty Prentice, MA, NCC
• Laura Michele Quarino, NP
• Amy Randolph, M.ED., CCC-SLP
• Keith Christian Reschly, M.D.
• Rha Health Services Inc

• Mental Health Counselor in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.