TIJUANA FAULKS LPC, LCAS-A
NPI 1649628140
Counselor - Professional in Greensboro, NC

Active since May 25, 2016PECOS EnrolledAccepts Medicare Assignment
1101 CAROLINA ST, GREENSBORO, NC 27401(336) 333-6860 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tijuana Faulks Lpc, Lcas-a NPPES

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

TIJUANA FAULKS LPC, LCAS-A (NPI 1649628140) is an individual professional provider in Greensboro, North Carolina, licensed in North Carolina (12166) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greensboro, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1649628140
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIJUANA FAULKSCredential: LPC, LCAS-A
Location Address1101 CAROLINA STGreensboro, NC 27401
Mailing Address309 Hazelwood DrGreensboro, NC 27401-4634 · (336) 457-9313
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMay 25, 2016
Last NPPES UpdateMarch 19, 2019
NPI 1649628140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 12166
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 22598 (NC)
1101 CAROLINA ST, Greensboro, NC 27401

Secondary Practice Location 1

Location 1121 S Elm StGreensboro, NC 27401-2601 · Phone (336) 457-9313

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tijuana Faulks Lpc, Lcas-a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294185526
PECOS Enrollment IDI20231228001062
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.

Other Providers at the Same Location NPPES 14

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

Counselor (Addiction (Substance Use Disorder))
1101 CAROLINA ST
GREENSBORO, NC 27401
Counselor (Professional)
1101 CAROLINA ST
GREENSBORO, NC 27401
Counselor (Addiction (Substance Use Disorder))
1101 CAROLINA ST
GREENSBORO, NC 27401
Counselor (Addiction (Substance Use Disorder))
1101 CAROLINA ST
GREENSBORO, NC 27401
Counselor (Addiction (Substance Use Disorder))
1101 CAROLINA ST
GREENSBORO, NC 27401
Registered Nurse (Addiction (Substance Use Disorder))
1101 CAROLINA ST
GREENSBORO, NC 27401
Registered Nurse (Addiction (Substance Use Disorder))
1101 CAROLINA ST
GREENSBORO, NC 27401
Registered Nurse (Addiction (Substance Use Disorder))
1101 CAROLINA ST
GREENSBORO, NC 27401

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 Tijuana Faulks's NPI number?

The NPI number for Tijuana Faulks is 1649628140. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is Tijuana Faulks located?

Tijuana Faulks practices at 1101 Carolina St, Greensboro, NC 27401. The listed phone number is (336) 333-6860.

What is Tijuana Faulks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tijuana Faulks enrolled in Medicare?

Yes. Tijuana Faulks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tijuana Faulks accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Tijuana Faulks 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 Tijuana Faulks was last updated on March 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.