NPIMap

Organization Active NPI

Theresa Crumpton Counseling Service, LLC

  • Clinical Social Worker
  • Wilsonville, OR
National Provider Identifier
1013495134
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERESA CRUMPTON COUNSELING SERVICE, LLC
Practice address
29781 SW Town Center Loop W Ste 200
Wilsonville, OR 97070-8902
Phone
(971) 803-3933
NPI assigned
Jul 31, 2018
Last updated
Jul 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Theresa Crumpton, LCSWNPI 1598077265
Title
Owner
Phone
(971) 803-3933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

29781 SW Town Center Loop W Ste 200
Wilsonville, OR 97070-8902

Mailing address

29781 SW Town Center Loop W Ste 200
Wilsonville, OR 97070-8902
Phone (971) 803-3933

Other names 1

  • Theresa Crumpton Counseling Services, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

8655 SW Citizens Dr
Wilsonville, OR 97070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1013495134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29781 SW TOWN CENTER LOOP W STE 200",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708902",
            "telephone_number": "971-803-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29781 SW TOWN CENTER LOOP W STE 200",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708902",
            "telephone_number": "971-803-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA CRUMPTON COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "CRUMPTON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-803-3933",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theresa Crumpton Counseling Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Theresa Crumpton Counseling Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.