Individual provider Active NPI

Tijuana P Adams, MS, LPC, NCC

  • Mental Health Counselor
  • Greenville, NC
National Provider Identifier
1376806257
Registry record updated Mar 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8380 Issued in NC
Practice address
3011 S Memorial Dr Ste 5
Greenville, NC 27834-6238
Phone
(252) 364-6007
Fax
(888) 509-1504
NPI assigned
Jun 16, 2012
Last updated
Mar 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2014

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 8380 NC Primary

Addresses

Primary practice location

3011 S Memorial Dr Ste 5
Greenville, NC 27834-6238

Mailing address

3011 S Memorial Dr Ste 5
Greenville, NC 27834-6238
Phone (252) 364-6007

Other identifiers 1

IdentifierTypeStateIssuer
1376806257MedicaidNC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8380NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393632000000",
    "number": "1376806257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 S MEMORIAL DR STE 5",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346238",
            "telephone_number": "252-364-6007",
            "fax_number": "888-509-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 S MEMORIAL DR STE 5",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346238",
            "telephone_number": "252-364-6007",
            "fax_number": "888-509-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TIJUANA",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-16",
        "last_updated": "2014-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376806257",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; 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.