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KYLIE ANNE TANGEN
NPI 1972186047
Counselor - Mental Health in Jacksonville, NC

Active since May 05, 2021PECOS Enrolled
3886 HENDERSON DR, JACKSONVILLE, NC 28546(910) 938-9833(910) 938-9835 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kylie Anne Tangen NPPES

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

KYLIE ANNE TANGEN (NPI 1972186047) is an individual mental health provider in Jacksonville, North Carolina, licensed in North Carolina (A15224) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972186047
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYLIE ANNE TANGEN
Location Address3886 HENDERSON DRJacksonville, NC 28546-5219
Mailing Address3886 Henderson DrJacksonville, NC 28546-5219 · (910) 938-9833 · Fax (910) 938-9835
Phone(910) 938-9833
Fax(910) 938-9835
Sole ProprietorYes
Enumeration DateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1972186047 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 · A15224
3886 HENDERSON DR, Jacksonville, NC 28546
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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Anne Tangen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

MARINA LOUISE HARRISON LCSWA
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-9833
BREANNA NICOLE WYLEY
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-9833
MONISHA LATRICE FRANKLIN LCSWA
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-9833
PEPPER CHAPMAN
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-9833
ANDREA COOPER MS, LCMHC
Counselor (Mental Health)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-9833
CHELSEA ALEXANDRA NILL LCSWA
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-9833
CASSIO FERREIRA BORGES SR. MSW, LCSWA
Social Worker (Clinical)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-9833
ALYSSA PELL-BUDZISZ DNP
Nurse Practitioner (Family)
3886 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 989-2682

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 Kylie Tangen's NPI number?

The NPI number for Kylie Tangen is 1972186047. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Kylie Tangen located?

Kylie Tangen practices at 3886 Henderson Dr, Jacksonville, NC 28546. The listed phone number is (910) 938-9833.

What is Kylie Tangen's specialty?

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

Is Kylie Tangen enrolled in Medicare?

Yes. Kylie Tangen is registered in the Medicare PECOS enrollment system.

What insurance does Kylie Tangen accept?

Health plans from Blue Cross and Blue Shield of NC list Kylie Tangen 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 Kylie Tangen was last updated on May 5, 2021. 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.