Individual Healthcare Provider
Tamika Fagan, CBCS, CCHT,NHA
Provider's NPPES record last updated: January 29, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1083587042
- Primary Specialty
- Community/Behavioral Health
- Practice Location
- Rocky Mount, North Carolina
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:18 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Community/Behavioral Health
Agencies
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Taxonomy code 251S00000X Psychologist
Clinical Child & Adolescent
Behavioral Health & Social Service Providers
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Taxonomy code 103TC2200XResidential Treatment Facility, Emotionally Disturbed Children
Residential Treatment Facilities
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Taxonomy code 322D00000XNurse's Aide
Nursing Service Related Providers
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
Taxonomy code 376K00000XClinic/Center
Urgent Care
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QU0200XPersonal Emergency Response Attendant
Emergency Medical Service Providers
Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.
Taxonomy code 146D00000XRespite Care
Respite Care, Mental Illness, Child
Respite Care Facility
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
Taxonomy code 385HR2055XRespite Care
Respite Care Facility
Definition to come.
Taxonomy code 385H00000XNon-emergency Medical Transport (VAN)
Transportation Services
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
Taxonomy code 343900000XCounselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800XAssisted Living Facility
Assisted Living, Behavioral Disturbances
Nursing & Custodial Care Facilities
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
Taxonomy code 3104A0630XTransportation Broker
Transportation Services
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
Taxonomy code 347E00000XHealth & Wellness Coach
Other Service Providers
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
Taxonomy code 171400000X
Provider-Reported License Information
- Community/Behavioral Health (North Carolina)
- 1138009113
- Psychologist (North Carolina)
- S4L8A5R7
- Personal Emergency Response Attendant (North Carolina)
- 566993
Practice Locations
Practice Location
1225 Manor Dr
Rocky Mount, North Carolina 27804-4613
Phone: (984) 833-7423
Record Information
- Enumeration Date
- September 25, 2025
- Provider's NPPES Record Last Updated
- January 29, 2026
- Certification Date
- January 29, 2026
- NPISignal NPPES Dataset
- August 2026
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