Individual provider Active NPI

Tyra McRae

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1902323249
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
240586 Issued in FL
Practice address
12308 Breaphitt CT
Tampa, FL 33626-2695
Phone
(561) 501-0998
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 240586 FL Primary
Community/Behavioral Health Agency 251S00000X 240878 FL
Community/Behavioral Health Agency 251S00000X 240937 FL

Addresses

Primary practice location

12308 Breaphitt CT
Tampa, FL 33626-2695

Mailing address

5005 W Laurel St Ste 100
Tampa, FL 33607-3896
Phone (561) 501-0998

Other practice location 1

4200 Bickel Blvd Unit 201
Wesley Chapel, FL 33543-5593
Phone (561) 501-0998

Other practice location 2

209 W 13th St Apt A
Riviera Beach, FL 33404-6823
Phone (561) 501-0998

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
240586FLMDCommunity/Behavioral Health Agency
240878FLMDCommunity/Behavioral Health Agency
240937FLMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
B.Jenerous Care LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

5005 W Laurel St
Ste 100
Tampa, FL 33607
Phone (813) 618-5320

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1902323249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 W LAUREL ST STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073896",
            "telephone_number": "561-501-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12308 BREAPHITT CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262695",
            "telephone_number": "561-501-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Bickel Blvd Unit 201",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335435593",
            "country_code": "US",
            "telephone_number": "561-501-0998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 W 13th St Apt A",
            "address_purpose": "LOCATION",
            "city": "Riviera Beach",
            "state": "FL",
            "postal_code": "334046823",
            "country_code": "US",
            "telephone_number": "561-501-0998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "TYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "240586",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "240878",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "240937",
            "primary": false
        }
    ],
    "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 Sep 16, 2025; 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.