Coralotta Cromer

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1138 N Germantown Pkwy Ste 179
Cordova, TN 38016-5872

Phone

(520) 542-2035

Fax

(877) 540-0067

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: coralotta.cromer.p1@direct.tristatechc.nextgenshare.com

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.

• Bound by Happiness

  • Community/Behavioral Health Agency
  • Cordova, TN
  • NPI 1609569177

  Mental Health

  NPD

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1366801391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S WALNUT BEND RD",
            "address_2": "#9 #10",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187283",
            "telephone_number": "901-842-1770",
            "fax_number": "901-417-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N GERMANTOWN PKWY STE 179",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165872",
            "telephone_number": "520-542-2035",
            "fax_number": "877-540-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 S Walnut Bend Rd",
            "address_2": "#9 #10",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380187283",
            "country_code": "US",
            "telephone_number": "901-842-1770 x1104",
            "fax_number": "901-417-8242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROMER",
        "first_name": "CORALOTTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q017979",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Armonde Crenshaw Sr., M.A.
• Rhonda Elaine Crenshaw, SP
• Fawn Cress, FNP
• Caroline Caitlyn Crocker, PA-C
• Shelby Crocker, RBT
• Bettye Simmons Crouch
• Asia Crowder, BT
• Kathleen Anderson Crowder, LPTA
• Marc J. Crupie, M.D.
• Mariana Cruz Cobain

• Mental Health Counselor in Cordova, TN
• Providers in Cordova, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.