Active NPI
Tamica C. Crearer
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1245669100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1870 Forest Hill Blvd
#200
West Palm Beach, FL 33406-8901 - Phone
- (561) 904-6514
- Fax
- (561) 776-4213
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1870 Forest Hill Blvd
#200
West Palm Beach, FL 33406-8901
Mailing address
1870 Forest Hilll Blvd.
200
West Palm Beach, FL 33406
Phone (561) 904-6514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900433146 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1245669100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 FOREST HILLL BLVD.",
"address_2": "200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33406",
"telephone_number": "561-904-6514",
"fax_number": "561-776-4213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 FOREST HILL BLVD",
"address_2": "#200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334068901",
"telephone_number": "561-904-6514",
"fax_number": "561-776-4213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREARER",
"first_name": "TAMICA",
"middle_name": "C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900433146",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
- Madelyn Craig, OTR/L
- Ashley Nicole Cranage, APRN, FNP-C
- Kathryn Evelyn Crane, MSPT, CSCS
- Steven Crane, DMD
- David R Crawford
- Creative Care Healing Counseling & Consulting
- Creative Health Images, Inc
- Creative Solutions Companion Care Service
- Creative Soul Journey and Counseling Services LLC
- Creative Therapy Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.