Tandy Lin Hale, LPC, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12064 Issued in NC

Practice address

1917 Trent Blvd
New Bern, NC 28560-4537

Phone

(252) 631-5337

NPI assigned

Jan 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inner Source Therapy PLLCGroup PAC ID 1153771787, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Inner Source Therapy, PLLC

  • Mental Health Counselor
  • New Bern, NC
  • NPI 1831867175

  NC

  Medicare reassignment Care Compare group NPD
• A Fresh Start Behavioral Health Services, PLLC

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1710499223
  NPD (past)

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1467916171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 RIVER RD",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627461",
            "telephone_number": "252-259-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 TRENT BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604537",
            "telephone_number": "252-631-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "TANDY",
        "middle_name": "LIN",
        "credential": "LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NC",
            "license": "17-094",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Mary Hagerty, MD
• Hakuna Wellness Center LLC
• Jessica Holder Hale, PA-C
• Joseph Matthew Hale
• Steven Richard Hale, CRNA
• Brenda B Hall
• John Martin Hall, DPM
• Kennesia Hall
• Sarah Louise Hall, PT
• Scarlet Gibbs Hall, HEARING SPECIALIST

• All providers in New Bern, NC
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.