Individual provider Active NPI

Chris McCann

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1780003046
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15505 Issued in FL
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

Updated by the provider on Mar 17, 2018

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 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

LicenseStateTypeSpecialty
MH15505FLMDMental 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.

Verify at the official NPI Registry.