Tanya Lance, M.ED., LCMHC, LCAS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10569 Issued in NC

Practice address

512 Woodsong LN
Shallotte, NC 28470-3452

Phone

(740) 505-3819

NPI assigned

Apr 14, 2015

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1821484023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 WOODSONG LN",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703452",
            "telephone_number": "740-505-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WOODSONG LN",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703452",
            "telephone_number": "740-505-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "TANYA",
        "credential": "M.ED., LCMHC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21211",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Knowles
• Jordan Ryley Krumanocker, CPP, PHARMD
• Leigh Lafoon, PHARMD
• Lai Group Homes, LLC
• Karen T Lakis, MA, CCC-SLP
• Jonathan Lawrence Langston, PAC
• Brian Salvatore Lank, D.C.
• Aaron Latimer, DPT
• Lawrence M Linett, MD, PLLC
• Tiffany Le, O.D.

• Professional Counselor in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Professional Counselor in North Carolina

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