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MRS. LORETTA I. TILLMAN MA
NPI 1356495402
Counselor - Mental Health in Charlotte, NC

Active since January 23, 2007PECOS Enrolled
5736 N TRYON ST STE 200, CHARLOTTE, NC 28213(704) 921-6777(704) 509-2220 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Loretta I. Tillman Ma NPPES

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

MRS. LORETTA I. TILLMAN MA (NPI 1356495402) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (3411) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356495402
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LORETTA I. TILLMANCredential: MA
Location Address5736 N TRYON ST STE 200Charlotte, NC 28213-0820
Mailing Address5736 N Tryon St Ste 200Charlotte, NC 28213-0820 · (704) 921-6777 · Fax (704) 509-2220
Phone(704) 921-6777
Fax(704) 509-2220
Sole ProprietorYes
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356495402 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 · 3411
5736 N TRYON ST STE 200, Charlotte, NC 28213
Open in Google Maps ↗

Other Identifiers 1

Medicaid6102097NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross Blue Shield of Arizona, Cigna Healthcare 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. Loretta I. Tillman Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Loretta Tillman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
655 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina enrollment
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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

INNOVATIVE COMMUNITY RESOURCES NC INC
Counselor (Mental Health)
5736 N TRYON ST STE 200
CHARLOTTE, NC 28213
Mecklenburg County (704) 921-6777

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 Loretta Tillman's NPI number?

The NPI number for Loretta Tillman is 1356495402. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Loretta Tillman located?

Loretta Tillman practices at 5736 N Tryon St Ste 200, Charlotte, NC 28213. The listed phone number is (704) 921-6777.

What is Loretta Tillman's specialty?

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

Is Loretta Tillman enrolled in Medicare?

Yes. Loretta Tillman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Loretta Tillman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loretta Tillman reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Loretta Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loretta Tillman accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of NC, Cigna HealthCare of Arizona, Inc, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Loretta Tillman 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 Loretta Tillman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.