Active NPI
Tanza Haskins Counseling Services, Inc.
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1174655690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002680
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002839 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.