Active NPI
Tanya St. Julien, LPC
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1639430408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9452
- Practice address
- 505 Oberlin Rd
Ste 110
Raleigh, NC 27605-1327 - Phone
- (337) 255-6529
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9452 | NC | |
| Counselor | 101Y00000X | 9452 | NC | |
| Mental Health Counselor | 101YM0800X | 9452 | NC | Primary |
Addresses
Primary practice location
505 Oberlin Rd
Ste 110
Raleigh, NC 27605-1327
Mailing address
505 Oberlin Rd
Ste 110
Raleigh, NC 27605-1327
Phone (337) 255-6529
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163943408 | Other | NC | CIGNA |
| 1639430408 | Other | NC | BLUE CROSS BLUE SHEILD |
| 9452 | Other | NC | LICENSED PROFESSIONAL COUNSELOR |
| 1639430408 | Medicaid | NC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidden Stream Counseling, PC | Counselor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Raleigh, NC
- NPI 1710578836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1639430408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 OBERLIN RD",
"address_2": "STE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051327",
"telephone_number": "337-255-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 OBERLIN RD",
"address_2": "STE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051327",
"telephone_number": "337-255-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. JULIEN",
"first_name": "TANYA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9452",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "9452",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "9452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "163943408",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "1639430408",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "9452",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639430408",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.