Individual provider Active NPI

Tajha Lewis, LCSW, LCDC, CGP

  • Clinical Social Worker
  • Frisco, TX
National Provider Identifier
1194472779
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67660 Issued in TX
Practice address
5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008
Phone
(940) 208-0747
Fax
(817) 977-7274
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 13548 TX
Clinical Social Worker 1041C0700X 67660 TX Primary

Addresses

Primary practice location

5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008

Mailing address

5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008
Phone (940) 208-0747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20220723000290 TX Practitioner - Clinical Social Worker 6305227273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13548TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A Journey Over Yesterday Counseling PLLC Addiction (Substance Use Disorder) CurrentSince Nov 13, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 10, 2022 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4475 Trinity Mills Rd
Unit 701202
Dallas, TX 75370

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 3

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1194472779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 TOWN AND COUNTRY BLVD STE 240",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341008",
            "telephone_number": "940-208-0747",
            "fax_number": "817-977-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 TOWN AND COUNTRY BLVD STE 240",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341008",
            "telephone_number": "940-208-0747",
            "fax_number": "817-977-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TAJHA",
        "credential": "LCSW, LCDC, CGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13548",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.