Jane Allen Tilley, LCAS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9584 Issued in NC

Practice address

229 Turner Dr
Reidsville, NC 27320-5736

Phone

(336) 349-2233

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

No

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

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.

• Moses Cone Physician Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1093953127

  NC

  Medicare reassignment NPD
• Moses Cone Physician Services Inc

  • Hospitalist Physician
  • Greensboro, NC
  • NPI 1326363383
  NPD
• Moses Cone Physician Services, Inc.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Greensboro, NC
  • NPI 1164949814
  NPD

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1811248099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 TURNER DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205736",
            "telephone_number": "336-349-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 TURNER DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205736",
            "telephone_number": "336-349-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "JANE",
        "middle_name": "ALLEN",
        "name_prefix": "Ms.",
        "credential": "LCAS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2575",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Moses H. Cone Memorial Hospital Operating Corporation
• Therapeutic Community Resources Inc
• Brittney Talia Thomas, MSW, LCSW-A
• Jennifer Thomas, RN
• Latoya Lenore Thurston-Griggs
• Sabrina Ann Tillman, PLCSW
• Brenda Johnson Torain
• Total Renal Care of North Carolina LLC
• Tri State Psychotherapy
• Tri-Care Professional Services, LLC

• All providers in Reidsville, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.