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MRS. TYEEKIA BLUE MSW, LCSWA
NPI 1083153563
Counselor - Mental Health in Harrisburg, NC

Active since February 17, 2017PECOS Enrolled
4350 MAIN ST, STE 213, HARRISBURG, NC 28075(980) 236-1704(980) 206-0709 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 31, 2022, Feb 17, 2017 (2 updates tracked since 2017).

About Mrs. Tyeekia Blue Msw, Lcswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TYEEKIA BLUE MSW, LCSWA (NPI 1083153563) is an individual mental health provider in Harrisburg, North Carolina, licensed in North Carolina (C012307) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083153563
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. TYEEKIA BLUECredential: MSW, LCSWA
Location Address4350 MAIN ST, STE 213Harrisburg, NC 28075-7448
Mailing Address4350 Main St, Ste 213Harrisburg, NC 28075-7448 · (864) 906-0818 · Fax (980) 206-0709
Phone(980) 236-1704
Fax(980) 206-0709
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 17, 2017
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1083153563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · C012307
4350 MAIN ST, Harrisburg, NC 28075
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tyeekia Blue Msw, Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577892934
PECOS Enrollment IDI20190910002105
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tyeekia Blue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Essential Wellness Counseling PLLC
Same address
Mental Health
4350 MAIN ST STE 213
Harrisburg, NC 28075
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1740805019 (980) 236-1704

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN REYNOLDS OD
Optometrist
4350 MAIN ST
HARRISBURG, NC 28075
Cabarrus County (704) 322-3600
RESTORE
Speech-Language Pathologist
4350 MAIN ST
HARRISBURG, NC 28075
Cabarrus County (704) 559-9409
RESTORE HEALTHCARE
Registered Nurse (Home Health)
4350 MAIN ST, SUITE 211
HARRISBURG, NC 28075
Cabarrus County (704) 559-9408
RESTORE HEALTHCARE
Registered Nurse (Case Management)
4350 MAIN ST, SUITE 211
HARRISBURG, NC 28075
Cabarrus County (704) 559-9408
THOMAS HAND AND REHABILITATION SPECIALISTS LP
Clinic/Center (Physical Therapy)
4350 MAIN ST, SUITE 107
HARRISBURG, NC 28075
Cabarrus County (704) 455-7441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyeekia Blue's NPI number?

The NPI number for Tyeekia Blue is 1083153563. It was assigned to this individual provider in the NPPES registry on February 17, 2017.

Where is Tyeekia Blue located?

Tyeekia Blue practices at 4350 Main St Ste 213, Harrisburg, NC 28075. The listed phone number is (980) 236-1704.

What is Tyeekia Blue's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tyeekia Blue enrolled in Medicare?

Yes. Tyeekia Blue is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyeekia Blue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyeekia Blue reassigns Medicare benefits to Essential Wellness Counseling PLLC (Harrisburg, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyeekia Blue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyeekia Blue accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Tyeekia Blue as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyeekia Blue was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.