Frances Ernestine Tack, MS, LPC, LCAS, CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS 675 Issued in NC

Practice address

1335 Elizabeth Ave.
Belk 3157
Charlotte, NC 28235-5009

Phone

(704) 330-6749

Fax

(704) 330-6410

NPI assigned

Sep 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Frankie Tack Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1134316557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35009",
            "address_2": "BELK 3157",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282355009",
            "telephone_number": "704-330-6749",
            "fax_number": "704-330-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 ELIZABETH AVE.",
            "address_2": "BELK 3157",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282355009",
            "telephone_number": "704-330-6749",
            "fax_number": "704-330-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACK",
        "first_name": "FRANCES",
        "middle_name": "ERNESTINE",
        "credential": "MS, LPC, LCAS, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-30",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "LPC 2763",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS 675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102860",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANKIE",
            "last_name": "TACK",
            "credential": "MS, LPC, LCAS, CCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anik Tabor, OTR/L
• Ann Vandevelde Tabor, LMFTA, JD
• Elnaz Nassehzadeh Tabrizi, MD
• Nayo Tabron
• Kalei Reid Tacik, NP
• Kyle Tackeberry
• Vaibhav Rohan Tadepalli, MD
• Armand Tadjali, MD
• Jordan Elise Tadlock, MMFT
• Tadpole Pediatric Therapy Services PLLC

• Addiction (Substance Use Disorder) Counselor in Charlotte, NC
• Providers in Charlotte, 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 Sep 9, 2010; 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.