Active NPI
James Mark Crea, CDP
- Case Manager/Care Coordinator
- Tacoma, WA
National Provider Identifier
1699078659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CP 00006301
- Practice address
- 2502 Tacoma Ave S
Tacoma, WA 98402 - Phone
- (253) 759-0852
- NPI assigned
- Dec 14, 2010
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CP 00006301 | WA | Primary |
Addresses
Primary practice location
2502 Tacoma Ave S
Tacoma, WA 98402
Mailing address
114 N 3Rd Street
Montesano, WA 98563
Phone (360) 593-7030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP 00006301 | Other | WA | CHEMICAL DEPENDENCY PROFESSIONAL CERTIFACATION NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP 00006301 | WA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Institute | Past | Accepting new patients | |
| Community Counseling Institiute | Past | Accepting new patients |
Interoperability endpoints
- james.crea@rshc.directbygreenway.com
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.
-
- Specialist
- Tacoma, WA
- NPI 1215130166
-
- Community/Behavioral Health Agency
- Tacoma, WA
- NPI 1538467907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1699078659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 N 3RD STREET",
"city": "MONTESANO",
"state": "WA",
"postal_code": "98563",
"telephone_number": "360-593-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 TACOMA AVE S",
"city": "TACOMA",
"state": "WA",
"postal_code": "98402",
"telephone_number": "253-759-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREA",
"first_name": "JAMES",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "CDP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-14",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": "CP 00006301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCY PROFESSIONAL CERTIFACATION NUMBER",
"identifier": "CP 00006301",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.