Individual provider Active NPI

Tyeshia Robinson

  • Mental Health Counselor
  • Concord, NC
National Provider Identifier
1851033203
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18299 Issued in NC
Practice address
851 Bradley St NE
Concord, NC 28025-2979
Phone
(704) 966-9922
NPI assigned
Apr 7, 2022
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A18299 NC Primary
School Counselor 101YS0200X 1256399 NC

Addresses

Primary practice location

851 Bradley St NE
Concord, NC 28025-2979

Mailing address

10119 Mountain Flower CT
Charlotte, NC 28214-7638
Phone (336) 602-7530

Other practice location 1

163 Stratford Ct Ste 170
Winston Salem, NC 27103-1833
Phone (336) 831-4051

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

State licenses

LicenseStateTypeSpecialty
A18299NCMDMental Health Counselor
1256399NCMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1851033203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 MOUNTAIN FLOWER CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282147638",
            "telephone_number": "336-602-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 BRADLEY ST NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252979",
            "telephone_number": "704-966-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Stratford Ct Ste 170",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031833",
            "country_code": "US",
            "telephone_number": "336-831-4051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TYESHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18299",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "1256399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.