Active NPI
Tanganeka Monique Johnston, LCSWA
- Clinical Social Worker
- Salisbury, NC
National Provider Identifier
1154861797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P015779
- Practice address
- Shyas Cares 714 S. Main St.
Salisbury, NC 28144 - Phone
- (704) 603-8285
- Fax
- (704) 353-7901
- NPI assigned
- Mar 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P011242 | NC | |
| Clinical Social Worker | 1041C0700X | P015779 | NC | Primary |
Addresses
Primary practice location
Shyas Cares 714 S. Main St.
Salisbury, NC 28144
Mailing address
Shyas Cares 714 S. Main St.
Salisbury, NC 28144
Phone (704) 603-8285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 562546907 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| P011242 | NC | MD | Mental Health Counselor |
| P015779 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S&H Youth and Adult Services, Inc. | Current | Accepting new patients | |
| Arj SC | Past | Accepting new patients | |
| Arj, LLC | Past | Accepting new patients |
Locations
714 S Main St
Salisbury, NC 28144
Phone (704) 603-8285
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Salisbury, NC
- NPI 1013117720
-
- Case Management Agency
- Charlotte, NC
- NPI 1184087546
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1821241225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1154861797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SHYAS CARES 714 S. MAIN ST.",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28144",
"telephone_number": "704-603-8285",
"fax_number": "704-353-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SHYAS CARES 714 S. MAIN ST.",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28144",
"telephone_number": "704-603-8285",
"fax_number": "704-353-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "TANGANEKA",
"middle_name": "MONIQUE",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-01",
"last_updated": "2024-08-26",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "P011242",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P015779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "562546907",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.