Tanisha Mann, COUNSELOR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19977 Issued in NC

Practice address

537 Sugar W Creek Rd. Ste 201 #1093
Charlotte, NC 28213-6103

Phone

(912) 805-5481

NPI assigned

Nov 20, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1699590976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 SUGAR W CREEK RD. STE 201 #1093",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136103",
            "telephone_number": "912-805-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 SUGAR W CREEK RD. STE 201 #1093",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136103",
            "telephone_number": "912-805-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "TANISHA",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC009965",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Shrader Mann, MCD-SLP
• Brittany Mann
• Chelsey Mann, LCSWA
• Connie Marie Mann, PMHNP-BC
• Destiny Mann
• Zariyat Mohsena Mannan, MD
• Aniruddh Mannari, MD
• Gladys J. Mannas-Stevens, LCSW
• Alexia Rae Manning, LCMHCA
• Charles Durian Manning, FNP-C

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.