Individual provider Active NPI

Caroyln Brown Treadon, PHD, LMHC, ATR-BC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1720096480
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7489 Issued in FL
Practice address
1801 Miccosukee Commons Dr
Tallahassee, FL 32308-5433
Phone
(850) 921-8989
Fax
(850) 921-8997
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7489 FL Primary

Addresses

Primary practice location

1801 Miccosukee Commons Dr
Tallahassee, FL 32308-5433

Mailing address

113 Lynne Marie Dr
Thomasville, GA 31792-5260
Phone (850) 445-9293

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH7489FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720096480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LYNNE MARIE DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925260",
            "telephone_number": "850-445-9293",
            "fax_number": "850-921-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MICCOSUKEE COMMONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085433",
            "telephone_number": "850-921-8989",
            "fax_number": "850-921-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADON",
        "first_name": "CAROYLN",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.