Individual provider Active NPI

Rodney Crooms, MED.

  • Addiction (Substance Use Disorder) Counselor
  • Apex, NC
National Provider Identifier
1013343482
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3161A Issued in NC
Practice address
810 Haddon Hall Dr
Apex, NC 27502-4377
Phone
(919) 434-1427
NPI assigned
Sep 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3161A NC Primary

Addresses

Primary practice location

810 Haddon Hall Dr
Apex, NC 27502-4377

Mailing address

810 Haddon Hall Dr
Apex, NC 27502-4377
Phone (919) 434-1427

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3161ANCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carter Clinic, P.a. PastSince Mar 4, 2021 Accepting new patients
Carter Clinic, P a Past Accepting new patients
Carter Clinic, PA Past Accepting new patients
Carter Clinic, P.a. PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 4

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1013343482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HADDON HALL DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024377",
            "telephone_number": "919-434-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HADDON HALL DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024377",
            "telephone_number": "919-434-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOMS",
        "first_name": "RODNEY",
        "credential": "MED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3161A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.