Individual provider Active NPI

Tamera A Crenshaw

  • Mental Health Counselor
  • East Longmeadow, MA
National Provider Identifier
1629308291
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
264 N Main St Ste 10
East Longmeadow, MA 01028-1837
Phone
(860) 461-7792
Fax
(860) 650-0567
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MA
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

264 N Main St Ste 10
East Longmeadow, MA 01028-1837

Mailing address

264 N Main St Ste 10
East Longmeadow, MA 01028-1837
Phone (860) 461-7792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20241120000238 CT Practitioner - Mental Health Counselor 9133654767 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tools for Success Counseling LLC Mental Health CurrentSince Oct 1, 2024 Accepting new patients

Locations

3 Barnard Ln
Ste 311
Bloomfield, CT 06002
Phone (860) 461-7792

264 N Main St
Ste 10
East Longmeadow, MA 01028
Phone (413) 244-0091

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": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1629308291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST STE 10",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281837",
            "telephone_number": "860-461-7792",
            "fax_number": "860-650-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST STE 10",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281837",
            "telephone_number": "860-461-7792",
            "fax_number": "860-650-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "TAMERA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.