Individual provider Active NPI

Marsha Morris Crutchfield, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1043485410
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60623 Issued in TX
Practice address
5602 Lyons Ave
Houston, TX 77020
Phone
(832) 548-5400
Fax
(713) 523-4897
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 60623 TX Primary

Addresses

Primary practice location

5602 Lyons Ave
Houston, TX 77020

Mailing address

PO Box 66308
Houston, TX 77266
Phone (832) 548-5076

Other identifiers 1

IdentifierTypeStateIssuer
080462703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123004869 TX Practitioner - Mental Health Counselor 7315399581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

3030 North St
Ste 500
Beaumont, TX 77702
Phone (409) 212-1533

3811 Lyons Ave
Houston, TX 77020
Phone (713) 814-3494

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

5602 Lyons Ave
Houston, TX 77020
Phone (713) 670-0614

12667 Bissonnet St
Houston, TX 77099
Phone (281) 498-6100

12540 Sugardale Dr
Stafford, TX 77477
Phone (601) 815-1368

14030 Florence Rd
Sugar Land, TX 77498

Organizations & group practices 2

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1043485410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77266",
            "telephone_number": "832-548-5076",
            "fax_number": "713-523-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 LYONS AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77020",
            "telephone_number": "832-548-5400",
            "fax_number": "713-523-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "MARSHA",
        "middle_name": "MORRIS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080462703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.