TANNER CRAUN LMSW
NPI 1760154009
Counselor in Rochester, NY

Q: What is Tanner Craun's NPI number?

The NPI number for Tanner Craun is 1760154009. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Q: What is Tanner Craun's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Tanner Craun enrolled in Medicare?

No. Tanner Craun has opted out of Medicare through December 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Tanner Craun was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 05, 2021Opted out of Medicare · through Dec 30, 2026

1099 JAY ST BLDG J, ROCHESTER, NY 14611(585) 328-0873(585) 436-0103 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tanner Craun Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER CRAUN LMSW (NPI 1760154009) is an individual counselor in Rochester, New York, licensed in New York (112517) and active in the NPI registry since October 2021. He has opted out of Medicare through December 30, 2026.

NPPES Registry Identity

NPI1760154009

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameTANNER CRAUNCredential: LMSW

Location Address1099 JAY ST BLDG JRochester, NY 14611-1153

Mailing Address1099 Jay St Bldg JRochester, NY 14611-1153 · (585) 328-0873 · Fax (585) 436-0103

Phone(585) 328-0873

Fax(585) 436-0103

Sole ProprietorNo

Enumeration DateOctober 5, 2021

NPPES CertifiedOctober 5, 2021

✔ NPI 1760154009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NY · 112517

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1099 JAY ST BLDG J, Rochester, NY 14611

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tanner Craun Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 30, 2024 through December 30, 2026.

Opt-Out Effective DateDecember 30, 2024

Opt-Out In Effect ThroughDecember 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY BUSHNELL LMSW

Social Worker