TEQUILA VINSON-BOGAN MA, LPCA
NPI 1790133585
Counselor - Professional in Raleigh, NC

Active since June 02, 2016Opted out of Medicare · through Jan 10, 2028
2000 YONKERS RD, RALEIGH, NC 27604(919) 896-7536(919) 838-8454 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tequila Vinson-bogan Ma, Lpca NPPES

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

TEQUILA VINSON-BOGAN MA, LPCA (NPI 1790133585) is an individual professional provider in Raleigh, North Carolina, licensed in North Carolina (A12343) and active in the NPI registry since June 2016. She has opted out of Medicare through January 10, 2028.

NPPES Registry Identity

NPI1790133585
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTEQUILA VINSON-BOGANCredential: MA, LPCA
Location Address2000 YONKERS RDRaleigh, NC 27604-2258
Mailing Address2000 Yonkers RdRaleigh, NC 27604-2258 · (919) 896-7536 · Fax (919) 838-8454
Fax(919) 838-8454
Sole ProprietorNo
Enumeration DateJune 2, 2016
NPI 1790133585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · A12343
2000 YONKERS RD, Raleigh, NC 27604

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Tequila Vinson-bogan Ma, Lpca has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024
Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

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

Social Worker (Clinical)
2000 YONKERS RD
RALEIGH, NC 27604
Community/Behavioral Health
2000 YONKERS RD
RALEIGH, NC 27604
Social Worker (Clinical)
2000 YONKERS RD
RALEIGH, NC 27604
Counselor (Addiction (Substance Use Disorder))
2000 YONKERS RD
RALEIGH, NC 27604
Social Worker (Clinical)
2000 YONKERS RD
RALEIGH, NC 27604
Community/Behavioral Health
2000 YONKERS RD
RALEIGH, NC 27604
Social Worker (Clinical)
2000 YONKERS RD
RALEIGH, NC 27604
Counselor (Mental Health)
2000 YONKERS RD
RALEIGH, NC 27604

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 Tequila Vinson-bogan's NPI number?

The NPI number for Tequila Vinson-bogan is 1790133585. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Tequila Vinson-bogan located?

Tequila Vinson-bogan practices at 2000 Yonkers Rd, Raleigh, NC 27604. The listed phone number is (919) 896-7536.

What is Tequila Vinson-bogan's specialty?

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

Is Tequila Vinson-bogan enrolled in Medicare?

No. Tequila Vinson-bogan has opted out of Medicare through January 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tequila Vinson-bogan accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tequila Vinson-bogan 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 Tequila Vinson-bogan was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.