Individual provider Active NPI

Tanger Lee Jones

  • Addiction (Substance Use Disorder) Counselor
  • La Grange, NC
National Provider Identifier
1437527082
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-A-21757 Issued in NC
Practice address
197 Brook Meadow Lane
Lagrange, NC 28551
Phone
(252) 361-1156
NPI assigned
Sep 11, 2015
Last updated
Oct 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-A-21757 NC Primary

Addresses

Primary practice location

197 Brook Meadow Lane
Lagrange, NC 28551

Mailing address

197 Brook Meadow LN
La Grange, NC 28551-8487
Phone (252) 361-1156

Other identifiers 1

IdentifierTypeStateIssuer
LCAS-A 21757OtherNCNC SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD

Other names 1

  • Miss Tanger Lee Jones Former name

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
LCAS-A-21757NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1437527082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 BROOK MEADOW LN",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285518487",
            "telephone_number": "252-361-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 BROOK MEADOW LANE",
            "city": "LAGRANGE",
            "state": "NC",
            "postal_code": "28551",
            "telephone_number": "252-361-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TANGER",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-A-21757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD",
            "identifier": "LCAS-A 21757",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANGER",
            "last_name": "JONES",
            "middle_name": "LEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Grange, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.