TASHA L KORNEGAY PHD
NPI 1295986495
Counselor in Raleigh, NC

Active since October 06, 2008
4909 WATERS EDGE DR, SUITE 104, RALEIGH, NC 27606(919) 601-1313 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 5, 2022, May 27, 2022, Jun 27, 2016 (3 updates tracked since 2016).

About Tasha L Kornegay Phd NPPES

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

TASHA L KORNEGAY PHD (NPI 1295986495) is an individual counselor in Raleigh, North Carolina, licensed in North Carolina (S7134) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1295986495
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTASHA L KORNEGAYCredential: PHD
Location Address4909 WATERS EDGE DR, SUITE 104Raleigh, NC 27606-2462
Mailing Address1702 Sheriff Watson RdSanford, NC 27332-6720 · (919) 601-1313
Sole ProprietorYes
Enumeration DateOctober 6, 2008
Last NPPES UpdateAugust 5, 20223 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
NPI 1295986495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NC · S7134
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 7134 (NC)
4909 WATERS EDGE DR, Raleigh, NC 27606

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
4909 WATERS EDGE DR, SUITE 100
RALEIGH, NC 27606
Community/Behavioral Health
4909 WATERS EDGE DR, SUITE 204
RALEIGH, NC 27606
In Home Supportive Care
4909 WATERS EDGE DR, SUITE 208
RALEIGH, NC 27606
In Home Supportive Care
4909 WATERS EDGE DR, SUITE 207
RALEIGH, NC 27606
Counselor (Professional)
4909 WATERS EDGE DR, SUITE 100
RALEIGH, NC 27606
Case Management
4909 WATERS EDGE DR, SUITE 201
RALEIGH, NC 27606
Counselor (Addiction (Substance Use Disorder))
4909 WATERS EDGE DR, 204
RALEIGH, NC 27606
Social Worker (Clinical)
4909 WATERS EDGE DR, 107
RALEIGH, NC 27606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295986495, enumerated as an "individual" on October 06, 2008.

The provider is located at 4909 WATERS EDGE DR SUITE 104 RALEIGH, NC 27606 and the phone number is (919) 601-1313.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.