Organization Active NPI

Partners Against Sexually Transmitted Diseases

  • Mental Health Counselor
  • Sanford, NC
National Provider Identifier
1639738073
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PARTNERS AGAINST SEXUALLY TRANSMITTED DISEASES
Practice address
717 N Horner Blvd
Sanford, NC 27330-3517
Phone
(919) 601-1313
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Mrs. Tasha Holland-Kornegay, PHD, LPCS
Title
Owner/Clinical Director
Phone
(919) 601-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

717 N Horner Blvd
Sanford, NC 27330-3517

Mailing address

1702 Sheriff Watson Rd
Sanford, NC 27332-6720
Phone (919) 601-1313

National Provider Directory

National Provider Directory

Locations

717 N Horner Blvd
Sanford, NC 27330
Phone (919) 601-1313

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1639738073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 SHERIFF WATSON RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273326720",
            "telephone_number": "919-601-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273303517",
            "telephone_number": "919-601-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS AGAINST SEXUALLY TRANSMITTED DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "HOLLAND-KORNEGAY",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-601-1313",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD, LPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.