Tyeasia K Dorsey, CSAC, LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

21899 Issued in NC

Practice address

201 E Pitt St Ste 103
Tarboro, NC 27886-5137

Phone

(252) 378-9940

NPI assigned

Jul 11, 2019

Last updated

Feb 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Tyeasia Kiah Dorsey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Embracing Tranquility Home Care Services LLC

  • Home Health Agency
  • Pinetops, NC
  • NPI 1538940507
  NPD Authorized official
• Margarets Safe House

  • Adult Care Home Facility
  • Tarboro, NC
  • NPI 1881372860
  NPD Authorized official
• Recovery Journey Services LLC

  • Community/Behavioral Health Agency
  • Tarboro, NC
  • NPI 1144830027
  NPD Authorized official

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1316599160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 FISHPOND RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348852",
            "telephone_number": "252-814-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E PITT ST STE 103",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865137",
            "telephone_number": "252-378-9940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 E Granville St",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "NC",
            "postal_code": "279836754",
            "country_code": "US",
            "telephone_number": "252-378-9940",
            "fax_number": "252-347-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "TYEASIA",
        "middle_name": "K",
        "credential": "CSAC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "14234",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21899",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NC",
            "license": "21899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00586698",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYEASIA",
            "last_name": "DORSEY",
            "middle_name": "KIAH",
            "prefix": "MRS.",
            "credential": "TYEASIA DORSEY CSAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeannette Hardy Davenport, RPH
• Amanda Whitehead Davis, MS CCC-SLP
• Michael Dawes
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• Bonnie Dixon, CPHT
• Tiffany Dowell
• Quatavius Downing
• Jon Dubose, MD
• Keosha Duson
• East Carolina Health - Heritage Inc (Heritage Hospital)

• Addiction (Substance Use Disorder) Counselor in Tarboro, NC
• Providers in Tarboro, 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 Feb 26, 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.