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MRS. TANYA DEPETRIS
NPI 1790409613
Counselor - Mental Health in Lewisville, NC

Active since October 04, 2022
6614 SHALLOWFORD RD STE 250, LEWISVILLE, NC 27023(336) 945-0137 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tanya Depetris NPPES

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

MRS. TANYA DEPETRIS (NPI 1790409613) is an individual mental health provider in Lewisville, North Carolina and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1790409613
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. TANYA DEPETRIS
Location Address6614 SHALLOWFORD RD STE 250Lewisville, NC 27023-9305
Mailing Address903 Dodson Mill RdPilot Mountain, NC 27041-9372 · (336) 755-8470
Phone(336) 945-0137
Sole ProprietorYes
Enumeration DateOctober 4, 2022
NPPES CertifiedDecember 29, 2021
✔ NPI 1790409613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6614 SHALLOWFORD RD STE 250, Lewisville, NC 27023
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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 ›

Other Providers at the Same Location NPPES 10

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

MR. BENJAMIN K BENTLEY LCAS, LCMHCS
Counselor (Professional)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
MS. ARIANNE J'NAE BROADNAX LPC-A
Counselor (Mental Health)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
ABBEY LEFKO LCMHCA
Counselor (Mental Health)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
KERVINS CLEMENT LCMHCAS
Counselor (Addiction (Substance Use Disorder))
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
MR. ANTOINE J CHARLES LCAS
Counselor (Addiction (Substance Use Disorder))
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
KAYLA CARUSO LCMHCA
Counselor (Mental Health)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
EMILY COMPTON
Counselor (Mental Health)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
ROBYN NOFTLE LCSW
Social Worker (Clinical)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137

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 Tanya Depetris's NPI number?

The NPI number for Tanya Depetris is 1790409613. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Tanya Depetris located?

Tanya Depetris practices at 6614 Shallowford Rd Ste 250, Lewisville, NC 27023. The listed phone number is (336) 945-0137.

What is Tanya Depetris's specialty?

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

What insurance does Tanya Depetris accept?

Health plans from Blue Cross and Blue Shield of NC list Tanya Depetris 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 Tanya Depetris was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.