Individual provider Active NPI

Michelle Murray Craun, LMFT, QS

  • Marriage & Family Therapist
  • St Augustine, FL
National Provider Identifier
1528510047
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3294 Issued in FL
Practice address
1301 Plantation Island Dr S
201B
St Augustine, FL 32080-3108
Phone
(904) 770-7685
Fax
(904) 770-7817
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3294 FL Primary

Addresses

Primary practice location

1301 Plantation Island Dr S
201B
St Augustine, FL 32080-3108

Mailing address

5598 A1A South
St. Augustine, FL 32080-7475
Phone (386) 854-1343

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231211000635 FL Practitioner - Marriage and Family Therapist 4587013933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 clinicians

Practice addresses (Care Compare)

1100 Plantation Island Dr S
Suite 110
St Augustine, FL 32080-5173
Phone (904) 824-7733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Jun 1, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Jun 1, 2024 Accepting new patients

Locations

1100 Plantation Island Dr S
Ste 110
Saint Augustine, FL 32080
Phone (904) 217-4259

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

4700 N Habana Ave
Ste 703
Tampa, FL 33614
Phone (813) 678-2373

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1528510047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5598 A1A SOUTH",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320807475",
            "telephone_number": "386-854-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S",
            "address_2": "201B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803108",
            "telephone_number": "904-770-7685",
            "fax_number": "904-770-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAUN",
        "first_name": "MICHELLE",
        "middle_name": "MURRAY",
        "credential": "LMFT, QS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.