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TINA LATHAN BOYER LCAS-A, LCMHCA
NPI 1669035267
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since April 18, 2019PECOS Enrolled
5200 PARK RD STE 218B, CHARLOTTE, NC 28209(866) 700-1606(866) 338-5921 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2022, Feb 1, 2022, Sep 26, 2021 and 2 more (5 updates tracked since 2019).

About Tina Lathan Boyer Lcas-a, Lcmhca NPPES

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

TINA LATHAN BOYER LCAS-A, LCMHCA (NPI 1669035267) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (20469) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669035267
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTINA LATHAN BOYERCredential: LCAS-A, LCMHCA
Location Address5200 PARK RD STE 218BCharlotte, NC 28209-3650
Mailing Address5200 Park Rd Ste 218bCharlotte, NC 28209-3650 · (866) 700-1606 · Fax (866) 338-5921
Phone(866) 700-1606
Fax(866) 338-5921
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 18, 2019
Last NPPES UpdateFebruary 14, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
✔ NPI 1669035267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 20469
Also ListedCounselorTaxonomy 101Y00000X · License 20469 (NC)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A17068 (NC)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A17068 (NC)
5200 PARK RD STE 218B, Charlotte, NC 28209
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Lathan Boyer Lcas-a, Lcmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749761872
PECOS Enrollment IDI20260226000369
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 Tina Boyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Second Chance Behavioral Health
213 mi
Mental Health
1425 S GLENBURNIE RD STE 3
New Bern, NC 28562
  • Reassigned Medicare billing, North Carolina enrollment
  • 21 clinicians in this Medicare group
NPI 1205341112 (252) 514-9888

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 20

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

LINDSEY YVETTE DONATIEN LCMHC
Counselor (Professional)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Mecklenburg County (866) 700-1606
KATELYN BROOKE MEDINA LCSW
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Mecklenburg County (866) 700-1606
NICOLE MARIE MCKIBBAN LCSW
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Mecklenburg County (866) 700-1606
JON WANYA HAMILTON LCSWA
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Mecklenburg County (866) 700-1606
SHASTA GABRIELLE STATEN MED, LPC
Counselor (Professional)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Mecklenburg County (866) 700-1606
LINDSEY MORGAN BISH LCMHCA
Counselor (Mental Health)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Mecklenburg County (866) 700-1606
KAITLIN FRANCES BYRD LCSWA
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Mecklenburg County (866) 700-1606
LAUREN ELAINE KENLEY WAYENBERG LCSWA
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Mecklenburg County (866) 700-1606

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 Tina Boyer's NPI number?

The NPI number for Tina Boyer is 1669035267. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Tina Boyer located?

Tina Boyer practices at 5200 Park Rd Ste 218B, Charlotte, NC 28209. The listed phone number is (866) 700-1606.

What is Tina Boyer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Tina Boyer enrolled in Medicare?

Yes. Tina Boyer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tina Boyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Boyer reassigns Medicare benefits to Second Chance Behavioral Health (New Bern, 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 Tina Boyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Boyer accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Tina Boyer 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 Tina Boyer was last updated on February 14, 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.