Tia Renee Crooms, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1476 Issued in NC

Practice address

3332 Bridges St
Suite 3a
Morehead City, NC 28557-3280

Phone

(888) 557-1675

Fax

(888) 557-1675

NPI assigned

Dec 1, 2008

Last updated

Jul 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Systemic Supervision Training Center, PLLC

  • Marriage & Family Therapist
  • Durham, NC
  • NPI 1528818143
  Medicare reassignment NPD Authorized official
• One to One Counseling & Consulting

  • Community/Behavioral Health Agency
  • Morehead City, NC
  • NPI 1932471042
  Authorized official Same address or phone

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593820800000",
    "number": "1730334061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 BRIDGES ST",
            "address_2": "SUITE 3A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573280",
            "telephone_number": "888-557-1675",
            "fax_number": "888-557-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 BRIDGES ST",
            "address_2": "SUITE 3A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573280",
            "telephone_number": "888-557-1675",
            "fax_number": "888-557-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOMS",
        "first_name": "TIA",
        "middle_name": "RENEE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Carteret Courthouse Square Finance Office
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• Ruth Pinnix Cox, NP
• Beverly B. Cozort, D.D.S.
• Katherine Craig, LCSW-A
• Maria L. Cruz, MS. LMFT
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• Crystal Coast Dermatology Services, PA
• Crystal Coast Family Practice
• Crystal Coast Hearing Solutions Inc

• Marriage & Family Therapist in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.