Individual provider Active NPI

Tyler Joseph Kramer, MA, LPCA

  • Professional Counselor
  • Huntersville, NC
National Provider Identifier
1558824847
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A14142 Issued in NC
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

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A14142NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Integrative Counseling PLLC PastSince Jan 12, 2020 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.

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.

Verify at the official NPI Registry.