TYSHEQUA N MCBRIDE LCMHC, LCAS
NPI 1609516707
Counselor - Mental Health in Fayetteville, NC

Active since March 29, 2022PECOS Enrolled
1101 ARSENAL AVE, FAYETTEVILLE, NC 28305(833) 846-3463 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2024, Feb 7, 2023, May 16, 2022 (3 updates tracked since 2022).

About Tyshequa N Mcbride Lcmhc, Lcas NPPES

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

TYSHEQUA N MCBRIDE LCMHC, LCAS (NPI 1609516707) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (17461) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609516707
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYSHEQUA N MCBRIDECredential: LCMHC, LCAS
Location Address1101 ARSENAL AVEFayetteville, NC 28305-5331
Mailing Address928 Tamarack Dr Apt 12302Fayetteville, NC 28311-3703 · (910) 386-7417
Sole ProprietorYes
Enumeration DateMarch 29, 2022
Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1609516707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 17461
Also ListedCounselorTaxonomy 101Y00000X · License 9998 (SC)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 27975 (NC)
1101 ARSENAL AVE, Fayetteville, NC 28305

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyshequa N Mcbride Lcmhc, Lcas 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 Tyshequa Mcbride reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 712 clinicians in this Medicare group

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 2

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

Social Worker (Clinical)
1101 ARSENAL AVE
FAYETTEVILLE, NC 28305
Social Worker (Clinical)
1101 ARSENAL AVE
FAYETTEVILLE, NC 28305

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 Tyshequa Mcbride's NPI number?

The NPI number for Tyshequa Mcbride is 1609516707. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Tyshequa Mcbride located?

Tyshequa Mcbride practices at 1101 Arsenal Ave, Fayetteville, NC 28305. The listed phone number is (833) 846-3463.

What is Tyshequa Mcbride's specialty?

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

Is Tyshequa Mcbride enrolled in Medicare?

Yes. Tyshequa Mcbride is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyshequa Mcbride's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyshequa Mcbride 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 Tyshequa Mcbride's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyshequa Mcbride accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Tyshequa Mcbride 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 Tyshequa Mcbride was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.