Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851265631 Individual Practitioner Male Practitioner

Ty Prentice , MA, NCC

Counselor • Bolivia, NC

Professional Overview & Biography Verified Profile Summary

Ty Prentice, MA, NCC is a registered healthcare professional specializing in Counselor in Bolivia, NC. Practice services are available at 3972 US HIGHWAY 17 BUS E STE I2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3972 Us Highway 17 Bus E Ste I2

Bolivia, NC 284228698

Telephone 7049607050

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Bolivia, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Bolivia, NC (1907 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 06, 2026

Registered at 3972 US HIGHWAY 17 BUS E STE I2, BOLIVIA, NC 284228698 (Tel: 7049607050)

📍
Updated Business Mailing Address April 06, 2026

Registered at 3972 US HIGHWAY 17 BUS E STE I2, BOLIVIA, NC 284228698 (Tel: 7049607050)

NPI Profile Active October 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2025

Registered at PO BOX 187, SUPPLY, NC 284620187 (Tel: 7049607050)

📍
Updated Business Mailing Address October 03, 2025

Registered at PO BOX 187, SUPPLY, NC 284620187 (Tel: 7049607050)

👤
Provider Name / Credentials Updated October 03, 2025

Recorded as TY PRENTICE, MA, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2025

Counselor

🟢
Initial NPI Registration & Enumeration October 03, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851265631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2025
Last Update: April 06, 2026
Sole Proprietor: Yes

Mailing Address

3972 Us Highway 17 Bus E Ste I2

Bolivia, NC 284228698

Phone: 7049607050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.