Individual provider Active NPI

Tiara McCray

  • Clinical Social Worker
  • Colorado SPGS, CO
National Provider Identifier
1619668761
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2020 N Academy Blvd Ste 282
Colorado SPGS, CO 80909-1567
Phone
(719) 751-8315
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CO Primary

Addresses

Primary practice location

2020 N Academy Blvd Ste 282
Colorado SPGS, CO 80909-1567

Mailing address

2020 N Academy Blvd Ste 282
Colorado SPGS, CO 80909-1567
Phone (719) 751-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250924001763 CO Practitioner - Clinical Social Worker 3779088463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

3715 Parkmoor Village Dr
Suite 102
Colorado Springs, CO 80917-5200
Phone (719) 540-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Jul 12, 2025 Accepting new patients
Family Care Center, LLC CurrentSince Jul 12, 2025 Accepting new patients
Foundation Builders Counseling LLC CurrentSince Dec 21, 2025 Accepting new patients

Locations

2020 N Academy Blvd
Ste 282
Colorado Springs, CO 80909
Phone (719) 751-8315

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127

Organizations & group practices 3

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1619668761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD STE 282",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "719-751-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD STE 282",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "719-751-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "TIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado SPGS, CO

Sources for this page

Verify at the official NPI Registry.