Individual provider Active NPI

Tafadzwa Charuma, LPC

  • Professional Counselor
  • Carrollton, TX
National Provider Identifier
1770220204
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81216 Issued in TX
Practice address
2004 Oakbluff Dr
Carrollton, TX 75007-1603
Phone
(214) 916-1924
NPI assigned
May 16, 2022
Last updated
May 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81216 TX Primary

Addresses

Primary practice location

2004 Oakbluff Dr
Carrollton, TX 75007-1603

Mailing address

2004 Oakbluff Dr
Carrollton, TX 75007-1603
Phone (214) 916-1924

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherSCHOOL DISTRICT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charumat@cfbisd.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260617000106 TX Practitioner - Mental Health Counselor 0941772313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1935 Medical District Dr
Dallas, TX 75235-7794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81216TXMDProfessional Counselor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1770220204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 OAKBLUFF DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071603",
            "telephone_number": "214-916-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 OAKBLUFF DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071603",
            "telephone_number": "214-916-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARUMA",
        "first_name": "TAFADZWA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHOOL DISTRICT",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charumat@cfbisd.edu",
            "affiliation": "N",
            "endpointDescription": "Direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ctafadzwab@gmail.com",
            "address_1": "2004 Oakbluff Dr",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750071603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.