Active NPI
Chris McCann
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1780003046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15505
- Practice address
- 6800 N Dale Mabry Hwy
Tampa, FL 33614-3997 - Phone
- (813) 992-5691
- Fax
- (813) 992-5691
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH15505 | FL | Primary |
Addresses
Primary practice location
6800 N Dale Mabry Hwy
Tampa, FL 33614-3997
Mailing address
18518 Ambly LN
Tampa, FL 33647-1801
Phone (813) 992-5691
Other practice location 1
800 Cummings Ctr
266t
Beverly, MA 01915-6175
Phone (978) 921-1190 ext. 7117
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15505 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1780003046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18518 AMBLY LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471801",
"telephone_number": "813-992-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336143997",
"telephone_number": "813-992-5691",
"fax_number": "813-992-5691"
}
],
"practiceLocations": [
{
"address_1": "800 Cummings Ctr",
"address_2": "266t",
"address_purpose": "LOCATION",
"city": "Beverly",
"state": "MA",
"postal_code": "019156175",
"country_code": "US",
"telephone_number": "978-921-1190 x7117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCANN",
"first_name": "CHRIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.