Individual provider Active NPI

Tonya Lee Combs, LCSW, LCAS

  • Clinical Social Worker
  • Sanford, NC
National Provider Identifier
1194367193
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013493 Issued in NC
Practice address
113 Toppin CT
Sanford, NC 27332-1020
Phone
(919) 721-0418
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25544 NC
Clinical Social Worker 1041C0700X P013493 NC Primary

Addresses

Primary practice location

113 Toppin CT
Sanford, NC 27332-1020

Mailing address

113 Toppin CT
Sanford, NC 27332-1020
Phone (919) 721-0418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240416002016 NC Practitioner - Clinical Social Worker 4688013212 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25544NCMDAddiction (Substance Use Disorder) Counselor
P013493NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Minds Counseling, PLLC Clinical CurrentSince Mar 3, 2024 Accepting new patients
Willow River Behavioral Health, PLLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

607 Wicker St
Sanford, NC 27330
Phone (919) 292-2614

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1194367193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 TOPPIN CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273321020",
            "telephone_number": "919-721-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 TOPPIN CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273321020",
            "telephone_number": "919-721-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "TONYA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "25544",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.