Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyra Oxendine

Individual provider Mental Health Counselor · NPI 1700493228

Tyra Oxendine is a Mental Health Counselor in Laurinburg, North Carolina. Qualified in 2020, 6 years ago. Practices with Robert C Pennebaker PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1779 S Main St
Laurinburg, NC 28352-5407
Phone: (910) 277-3212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 15887 (NC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1700493228
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2020
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Robert C Pennebaker Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Laurinburg