Active NPI
Tyrone McCarter
- Counselor
- Santa Rosa, CA
National Provider Identifier
1699901249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 634 Pressley St
Santa Rosa, CA 95404-5526 - Phone
- (707) 573-6955
- Fax
- (707) 543-8176
- NPI assigned
- Jun 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
634 Pressley St
Santa Rosa, CA 95404-5526
Mailing address
139 Lincoln St
Santa Rosa, CA 95401-4752
Phone (707) 548-0342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5678 | Other | CA | MEDICAL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1699901249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 LINCOLN ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014752",
"telephone_number": "707-548-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 PRESSLEY ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954045526",
"telephone_number": "707-573-6955",
"fax_number": "707-543-8176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTER",
"first_name": "TYRONE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-09",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "5678",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.