Taneka Marie McCoy, CRC, LCMHC, LCAS-A,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13822

Practice address

6329 Unity St Ste D
Thomasville, NC 27360-7186

Phone

(336) 255-4394

NPI assigned

Mar 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Transformation Collaborative Empowerment Services, PLLC

  • Mental Health Counselor
  • Thomasville, NC
  • NPI 1013584515
  NPD Authorized official

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1780187518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 UNITY ST STE D",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273607186",
            "telephone_number": "336-255-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6329 UNITY ST STE D",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273607186",
            "telephone_number": "336-255-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "TANEKA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CRC, LCMHC, LCAS-A,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018441",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-24448",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "13822",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise E Marshall, RN, BSN
• Miguel Angel Martinez Hernandez, EMT-P
• Timothy John Mathews, MD
• Diera Shamese Mathis
• Darryl Gerard McCarroll, LCSW
• Sarah Claire McCullough, DO
• Kaitlin Rose McCutcheon
• Scott Michael McGinley, M.D.
• John J. McKinney Jr., DO
• Shauna Brady McMillan, NP

• Mental Health Counselor in Thomasville, NC
• Providers in Thomasville, 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 Jan 24, 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.