Individual provider Active NPI

Wendy Elizabeth Crane, ED.S., LMFT

  • Marriage & Family Therapist
  • Lake Mary, FL
National Provider Identifier
1700096138
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1981 Issued in FL
Practice address
200 Waymont CT Ste 126
Lake Mary, FL 32746-3413
Phone
(407) 739-4267
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1981 FL Primary

Addresses

Primary practice location

200 Waymont CT Ste 126
Lake Mary, FL 32746-3413

Mailing address

1215 Norwood PL
Orlando, FL 32804-6725
Phone (407) 739-4267

Other identifiers 1

IdentifierTypeStateIssuer
Z031WOtherFLBLUE CROSS NON PPO PROVID

Other names 1

  • Wendy Crane Hamrick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 6, 2024 through Jun 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1981FLMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1700096138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 NORWOOD PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046725",
            "telephone_number": "407-739-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WAYMONT CT STE 126",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463413",
            "telephone_number": "407-739-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "WENDY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "ED.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "1981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NON PPO PROVID",
            "identifier": "Z031W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "HAMRICK",
            "middle_name": "CRANE",
            "credential": "ED.S., LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.