Tanya Joy Cass, LPC
Individual provider Active NPI Mental Health Counselor · Greensboro, NC
NPI 1295595635 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1295595635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 20376 (NC)
- Practice address
- 3625 N Elm St Ste 130
Greensboro, NC 27455-2604 - Phone
- (704) 360-3637
- NPI assigned
- Mar 21, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrative Wellness Solutions PLLC
Practice addresses (Care Compare)
3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241203000109 | NC | Practitioner - Mental Health Counselor | 4880138783 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20376 | NC | MD | Mental Health Counselor |
| 10025-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Wellness Solutions, PLLC | Mental Health | Current |
Accepting new patients |
Locations
10430 Harris Oak Blvd
Ste L
Charlotte, NC 28269
Phone (704) 317-2930
2530 Meridian Pkwy
Ste 115
Durham, NC 27713
3625 N Elm St
Ste 130
Greensboro, NC 27455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10025-125 | WI | |
| Mental Health Counselor | 101YM0800X | 20376 | NC | Yes |
Addresses
Primary practice location
3625 N Elm St Ste 130
Greensboro, NC 27455-2604
Mailing address
4555 W Schroeder Dr
Brown Deer, WI 53223-1475
Phone (414) 865-9615
Other practice location 1
4555 W Schroeder Dr
Brown Deer, WI 53223-1475
Phone (414) 865-2490
Other providers in Greensboro, NC
- Makeba Larkin Casey
- Rebecca Marie Cash
- Colter Cashion
- Scott William Cashion VI
- Craig Scott Cashwell
- Cassandra Hoskins LPC
- Kirstin Cassell
- Coley Cassiano
- Hayley Cullen Cassiano
- Nathan D Cassidy
All providers in Greensboro, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.