Organization Active NPI

Tanza Haskins Counseling Services, Inc.

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1174655690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002680 Issued in NC
Legal business name
TANZA HASKINS COUNSELING SERVICES, INC.
Practice address
871 Washington St
Raleigh, NC 27605-1255
Phone
(919) 839-0042
Fax
(919) 821-1434
NPI assigned
Mar 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tanza G. Haskins, M.S.W.
Title
President
Phone
(919) 839-0042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C002680 NC Primary

Addresses

Primary practice location

871 Washington St
Raleigh, NC 27605-1255

Mailing address

PO Box 46180
Raleigh, NC 27620-6180
Phone (919) 839-0042

Other identifiers 1

IdentifierTypeStateIssuer
6002839MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174655690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46180",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276206180",
            "telephone_number": "919-839-0042",
            "fax_number": "919-821-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051255",
            "telephone_number": "919-839-0042",
            "fax_number": "919-821-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANZA HASKINS COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "TANZA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-839-0042",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002839",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.