Ty Prentice, MA, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3972 US Highway 17 Bus E Ste I2
Bolivia, NC 28422-8698

Phone

(704) 960-7050

NPI assigned

Oct 3, 2025

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1851265631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 US HIGHWAY 17 BUS E STE I2",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228698",
            "telephone_number": "704-960-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 US HIGHWAY 17 BUS E STE I2",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228698",
            "telephone_number": "704-960-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "TY",
        "credential": "MA, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbora Kay Pittman, LCMHC
• Michele Polidoro, MD
• Katherine Kelly Poole, LCSW-A
• Brandi Posey, M.S. CCC-SLP
• James Rosser Powell, MD
• Laura Michele Quarino, NP
• Amy Randolph, M.ED., CCC-SLP
• Keith Christian Reschly, M.D.
• Rha Health Services Inc
• Riccobene & Associates I, DDS, P.a.

• Counselor in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.