Tamara Liaschenko, MA LCASA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-23381 Issued in NC

Practice address

7901 Emerald Dr
Suite 15
Emerald Isle, NC 28594-2846

Phone

(252) 515-0557

NPI assigned

May 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Credentials

Master of Arts

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.

• Sagestone PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Emerald Isle, NC
  • NPI 1679049464
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1831625441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5605",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285945605",
            "telephone_number": "252-515-0557",
            "fax_number": "252-503-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 EMERALD DR",
            "address_2": "SUITE 15",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285942846",
            "telephone_number": "252-515-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIASCHENKO",
        "first_name": "TAMARA",
        "credential": "MA LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Hogan, MA, CCC-SLP
• Garrett Hume, PH.D.
• Infuse Wellness PLLC
• Richard Jehue, ED.D, ATC, CSCS
• Harold John Kear, DDS
• Med First Immediate Care & Family Practice PA
• Med First Immediate Care & Family Practice PA
• Med First Immediate Care & Family Practice, PA
• Michel Goubran MD PA
• North Carolina CVS Pharmacy LLC

• Addiction (Substance Use Disorder) Counselor in Emerald Isle, NC
• Providers in Emerald Isle, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.