Individual provider Active NPI

John Richard Crossfield, LHMC

  • Mental Health Counselor
  • Jacksonville Beach, FL
National Provider Identifier
1043293111
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4466 Issued in FL
Practice address
1909 Beach Blvd
Suite 201
Jacksonville Beach, FL 32250-8608
Phone
(904) 853-5900
Fax
(904) 853-5885
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 MH4466 FL Primary

Addresses

Primary practice location

1909 Beach Blvd
Suite 201
Jacksonville Beach, FL 32250-8608

Mailing address

1909 Beach Blvd
Suite 201
Jacksonville Beach, FL 32250-8608
Phone (904) 853-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH4466FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1043293111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD",
            "address_2": "SUITE 201",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508608",
            "telephone_number": "904-853-5900",
            "fax_number": "904-853-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD",
            "address_2": "SUITE 201",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508608",
            "telephone_number": "904-853-5900",
            "fax_number": "904-853-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSFIELD",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LHMC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.