Tenisha Ross, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012516 Issued in NC

Practice address

216 W Dixon Blvd Ste a-1
Shelby, NC 28152-6500

Phone

(704) 476-9016

NPI assigned

Feb 6, 2018

Last updated

Sep 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tross727818@direct.ochin.org

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.

• A New Beginning Therapy Center, PLLC

  • Social Worker
  • Shelby, NC
  • NPI 1205459682

  Clinical

  Medicare reassignment NPD Authorized official
• Gaston Family Health Services, Inc.

  dba Kintegra Family Medicine - Hudson

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1215932215
  Medicare reassignment NPD
• Gaston Family Health Services, Inc

  dba Kintegra Family Medicine - Xray Dr

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD
• Gaston Family Health Services, Inc.

  dba Kintegra at Newton-Conover Middle

  • Federally Qualified Health Center (FQHC)
  • Conover, NC
  • NPI 1750861308
  NPD
• Aspire Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Morganton, NC
  • NPI 1396363339
  NPD (past)
• LDH Counseling & Consulting PLLC

  • Professional Counselor
  • Shelby, NC
  • NPI 1407373293
  NPD (past)

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1336648203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 OLD BOILING SPRINGS RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281520519",
            "telephone_number": "704-284-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W DIXON BLVD STE A-1",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526500",
            "telephone_number": "704-476-9016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Graham St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281505482",
            "country_code": "US",
            "telephone_number": "704-476-9016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Sanford Dr",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286552555",
            "country_code": "US",
            "telephone_number": "877-277-4739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TENISHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011907",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L Romich, LPA
• Julia Kirsten Roos, M.D.
• Rooted in Wellness PLLC
• Ira Howard Rosenblum, DO
• Kristan A Ross, M.S, LCAS-A, LCMHC-A
• Haley Jones Rothrock, FNP
• Joseph Royalty
• Julie Elliott Royster, CNM
• Laura Rucker
• Laura Lee Rudisill, LCMHC-S

• Clinical Social Worker in Shelby, NC
• Providers in Shelby, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.