Active NPI
Tania Marie Bialeck, MA, NCC, LPC
- Professional Counselor
- Mooresville, NC
National Provider Identifier
1174960272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8563
- Practice address
- 207 S Broad Street
Suite 1
Mooresville, NC 28115 - Phone
- (800) 311-7072
- Fax
- (704) 621-7652
- NPI assigned
- May 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A8563 | NC | |
| Professional Counselor | 101YP2500X | 8563 | NC | Primary |
Addresses
Primary practice location
207 S Broad Street
Suite 1
Mooresville, NC 28115
Mailing address
301 N Canterbury Road
Charlotte, NC 28211
Phone (704) 621-7652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174960272 | 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8563 | NC | MD | Professional Counselor |
| 8563 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Homes, LLC | Current | Accepting new patients |
Locations
207 S Broad St
Ste 1
Mooresville, NC 28115
Phone (704) 676-2363
Organizations & group practices 1
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
- Mooresville, NC
- NPI 1265540884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1174960272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N CANTERBURY ROAD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28211",
"telephone_number": "704-621-7652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S BROAD STREET",
"address_2": "SUITE 1",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "28115",
"telephone_number": "800-311-7072",
"fax_number": "704-621-7652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIALECK",
"first_name": "TANIA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-29",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A8563",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174960272",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.