Active NPI
Tyler Joseph Kramer, MA, LPCA
- Professional Counselor
- Huntersville, NC
National Provider Identifier
1558824847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14142
- Practice address
- 8600 Sam Furr Rd Ste 260
Huntersville, NC 28078-6182 - Phone
- (704) 960-3619
- Fax
- (980) 689-2738
- NPI assigned
- Apr 12, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A14142 | NC | Primary |
Addresses
Primary practice location
8600 Sam Furr Rd Ste 260
Huntersville, NC 28078-6182
Mailing address
8600 Sam Furr Rd Ste 260
Huntersville, NC 28078-6182
Phone (704) 960-3619
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
| License | State | Type | Specialty |
|---|---|---|---|
| A14142 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisdom Integrative Counseling PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Huntersville, NC
- NPI 1932749934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1558824847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 SAM FURR RD STE 260",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786182",
"telephone_number": "704-960-3619",
"fax_number": "980-689-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 SAM FURR RD STE 260",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786182",
"telephone_number": "704-960-3619",
"fax_number": "980-689-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "TYLER",
"middle_name": "JOSEPH",
"credential": "MA, LPCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-12",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.