NPIMap

Organization Active NPI

Tonya Omar, PLLC

Doing business as The Aya Center

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1174710248
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2523 Issued in NC
Legal business name
TONYA OMAR, PLLC
Doing business as
The Aya Center
Practice address
2634 Durham Chapel Hill Blvd Ste 4
Durham, NC 27707-2877
Phone
(919) 402-8738
Fax
(919) 869-2341
NPI assigned
Oct 2, 2007
Last updated
May 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Tonya Crockett Omar, MA, LPA
Title
Owner
Phone
(919) 402-8738

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2523 NC
Psychiatry Physician 2084P0800X 17981 NC
General Practice Physician 208D00000X 17981 NC
Community/Behavioral Health Agency 251S00000X 2523 NC Primary

Addresses

Primary practice location

2634 Durham Chapel Hill Blvd Ste 4
Durham, NC 27707-2877

Mailing address

2634 Durham Chapel Hill Blvd Ste 4
Durham, NC 27707-2877
Phone (919) 402-8738

Other identifiers 4

IdentifierTypeStateIssuer
5915600MedicaidNC
6006122MedicaidNC
8301525MedicaidNC
6107722MedicaidNC

Other names 1

  • The Aya Center Doing business as

National Provider Directory

National Provider Directory

Locations

2634 Durham Chapel Hill Blvd
Ste 4
Durham, NC 27707
Phone (919) 402-8738

3500 Westgate Dr
Ste 101
Durham, NC 27707
Phone (919) 402-8738

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1174710248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 DURHAM CHAPEL HILL BLVD STE 4",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072877",
            "telephone_number": "919-402-8738",
            "fax_number": "919-869-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 DURHAM CHAPEL HILL BLVD STE 4",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072877",
            "telephone_number": "919-402-8738",
            "fax_number": "919-869-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONYA OMAR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "CROCKETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-402-8738",
        "authorized_official_credential": "MA, LPA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2523",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "17981",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "17981",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "2523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915600",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006122",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301525",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107722",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Aya Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Aya Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.