Individual provider Active NPI

Thomas Richard Creen, M.A., MFT

  • Marriage & Family Therapist
  • Oro Valley, AZ
National Provider Identifier
1083785836
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-1515 Issued in AZ
Practice address
12837 N Pioneer Way
Oro Valley, AZ 85755-1731
Phone
(805) 637-6488
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT39787 CA
Marriage & Family Therapist 106H00000X LMFT-1515 AZ Primary
Marriage & Family Therapist 106H00000X T1066 OR

Addresses

Primary practice location

12837 N Pioneer Way
Oro Valley, AZ 85755-1731

Mailing address

12837 N Pioneer Way
Oro Valley, AZ 85755-1731
Phone (805) 637-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT-1515AZMDMarriage & Family Therapist
MFT39787CAMDMarriage & Family Therapist
T1066ORMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1083785836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12837 N PIONEER WAY",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551731",
            "telephone_number": "805-637-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12837 N PIONEER WAY",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551731",
            "telephone_number": "805-637-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEN",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT39787",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-1515",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.