Individual provider Active NPI

Tenisha Nicole McLean, LCMHCS

  • Mental Health Counselor
  • Whitsett, NC
National Provider Identifier
1275936320
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S11052 Issued in NC
Practice address
810 Cannonade Dr
Whitsett, NC 27377-8010
Phone
(336) 312-9982
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X S11052 NC Primary

Addresses

Primary practice location

810 Cannonade Dr
Whitsett, NC 27377-8010

Mailing address

810 Cannonade Dr
Whitsett, NC 27377-8010
Phone (336) 312-9982

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

State licenses

LicenseStateTypeSpecialty
S11052NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Equip Counseling & Consulting, PLLC Mental Health CurrentSince Mar 1, 2023 Accepting new patients

Locations

7 Corporate Center Ct
Ste B
Greensboro, NC 27408
Phone (336) 202-1768

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.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1275936320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CANNONADE DR",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273778010",
            "telephone_number": "336-312-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CANNONADE DR",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273778010",
            "telephone_number": "336-312-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "TENISHA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S11052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitsett, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.