Tontaelecsa Colonna

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

28148 Issued in NC

Practice address

650 SW Broad St
Southern Pines, NC 28387-5911

Phone

(910) 725-0211

Fax

(910) 725-0301

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ats of North Carolina, LLC

  • Methadone Clinic
  • Pinehurst, NC
  • NPI 1649310152

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1205585486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PERHEALTH DR",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283155493",
            "telephone_number": "910-315-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SW BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875911",
            "telephone_number": "910-725-0211",
            "fax_number": "910-725-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONNA",
        "first_name": "TONTAELECSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "28148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Sue Cochran, FNP-C
• Andrew David Coggin, M.D.
• Laura Caroline Colas, LCMHC
• Annessa Coleman, RBT
• Cristina Marie Collazo, PTA
• Tomesha Comery
• Community Healthwatch Services Inc.
• Connect Chiropractic
• Merly Contratto
• Victoria L Cooper, FNP

• Addiction (Substance Use Disorder) Counselor in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.