Active NPI
Tommi Alyse Pait, MS, LPCA, CRC
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1821494873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A11174
- Practice address
- 3405 West Wendover Ave
Suite F
Greensboro, NC 27404 - Phone
- (336) 323-1385
- NPI assigned
- Nov 18, 2014
- Last updated
- Nov 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00119104 | ||
| Professional Counselor | 101YP2500X | A11174 | NC | Primary |
Addresses
Primary practice location
3405 West Wendover Ave
Suite F
Greensboro, NC 27404
Mailing address
7206 Olmstead Dr
Unit C
Burlington, NC 27215-9359
Phone (336) 707-3960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11174 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zephaniah Services PC | Counselor | Past | Accepting new patients |
| Sante Counseling | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1821494873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7206 OLMSTEAD DR",
"address_2": "UNIT C",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272159359",
"telephone_number": "336-707-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 WEST WENDOVER AVE",
"address_2": "SUITE F",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27404",
"telephone_number": "336-323-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIT",
"first_name": "TOMMI",
"middle_name": "ALYSE",
"credential": "MS, LPCA, CRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "00119104",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.