TATISHA DEVONNE FAUNTLEROY LCMHC
NPI 1780939355
Counselor - Mental Health in Durham, NC

Q: What is Tatisha Fauntleroy's NPI number?

The NPI number for Tatisha Fauntleroy is 1780939355. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Q: What is Tatisha Fauntleroy's specialty?

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

Active since July 19, 2012

324 CALLANDALE LN, DURHAM, NC 27703(919) 224-8896(919) 957-7375 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2020, Jan 25, 2019 (2 updates tracked since 2019).

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About Tatisha Devonne Fauntleroy Lcmhc NPPES

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

TATISHA DEVONNE FAUNTLEROY LCMHC (NPI 1780939355) is an individual mental health provider in Durham, North Carolina, licensed in North Carolina (8744) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1780939355

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTATISHA DEVONNE FAUNTLEROYCredential: LCMHC

Location Address324 CALLANDALE LNDurham, NC 27703-9803

Mailing Address324 Callandale LnDurham, NC 27703-9803 · (919) 224-8896 · Fax (919) 957-7375

Phone(919) 224-8896

Fax(919) 957-7375

Sole ProprietorYes

Enumeration DateJuly 19, 2012

Last NPPES UpdateDecember 2, 20202 updates tracked since enumeration

NPPES CertifiedDecember 2, 2020

✔ NPI 1780939355 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 · 8744

324 CALLANDALE LN, Durham, NC 27703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Tatisha Fauntleroy's NPI number?

The NPI number for Tatisha Fauntleroy is 1780939355. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Tatisha Fauntleroy located?

Tatisha Fauntleroy practices at 324 Callandale Ln, Durham, NC 27703. The listed phone number is (919) 224-8896.

What is Tatisha Fauntleroy's specialty?

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

What insurance does Tatisha Fauntleroy accept?

Health plans from Blue Cross and Blue Shield of NC list Tatisha Fauntleroy 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 Tatisha Fauntleroy was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.