Jane Tastet, MA, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19056 Issued in NC

Practice address

1365 Westgate Center Dr
Winston Salem, NC 27103-2980

Phone

(336) 619-2680

NPI assigned

Jul 25, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Wild Indigo Counseling Collective

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1588528905
  NPD Authorized official

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1841970753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 AMBERHILL DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032980",
            "telephone_number": "336-619-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASTET",
        "first_name": "JANE",
        "credential": "MA, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Tarrant, RN
• Sydney Avis Tarte
• David Michael Tarter, MD
• Wyndee B Tarter, MD
• Taylor Tarvin, LCMHC, LCAS
• Carter Tate, DDS
• Jessica Amelia Tate, MD
• Kimberly Ann Tate, CRNA
• Stephen Bradley Tatter, MD
• Evan Tatum, PHARMD

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, 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 Jul 25, 2023; 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.