Organization Active NPI

Tatum Child and Family Counseling PLLC

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1205747136
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TATUM CHILD AND FAMILY COUNSELING PLLC
Practice address
204 Muirs Chapel Rd Ste 302
Greensboro, NC 27410-6176
Phone
(336) 270-9118
NPI assigned
Sep 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Athena Tatum, LCSW
Title
Owner
Phone
(850) 345-9007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

204 Muirs Chapel Rd Ste 302
Greensboro, NC 27410-6176

Mailing address

1633 New Garden Rd Unit 388
Greensboro, NC 27410-2001
Phone (336) 270-9118

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1205747136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 NEW GARDEN RD UNIT 388",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102001",
            "telephone_number": "336-270-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MUIRS CHAPEL RD STE 302",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106176",
            "telephone_number": "336-270-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATUM CHILD AND FAMILY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-345-9007",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.