Tyrenia Octavia Cross, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 13677 Issued in FL

Practice address

7235 Bonneval Rd
Suite# 205
Jacksonville, FL 32256-7565

Phone

(904) 323-2996

NPI assigned

Mar 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist Behavioral Health, LLC

  • Professional Counselor
  • Jacksonville, FL
  • NPI 1215906649

  Mental Health

  Medicare reassignment NPD
• Inner Clarity Counseling

  • Clinical Social Worker
  • Hazlet, NJ
  • NPI 1154886422

  FL

  Medicare reassignment NPD
• Essence of Life Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1124493804
  NPD (past) Authorized official
• Inner Clarity LLC

  • Clinical Social Worker
  • Hazlet, NJ
  • NPI 1639684103
  NPD (past)

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1184018665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16462 TISONS BLUFF RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188993",
            "telephone_number": "904-323-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 BONNEVAL RD",
            "address_2": "SUITE# 205",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567565",
            "telephone_number": "904-323-2996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 Prudential Dr Ste 1507",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078334",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "TYRENIA",
        "middle_name": "OCTAVIA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Crosier
• Ashley Cross
• Diamond Cross
• Heather Kay Cross, MD
• Lori Michelle Cross, CRNA
• Sandra Jean Crossen, ARNP
• Amber Michelle Crossley, ARNP
• Emily Laura Crossman, MD
• Crossroads Behavioral Health Services, LLC
• Crossroads Behavioral Health Services, LLC

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.