Individual provider Active NPI

Randy Louis Crownover, LMFT

  • Marriage & Family Therapist
  • Edmond, OK
National Provider Identifier
1043533797
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
911 Issued in OK
Practice address
4733 First Light LN
Edmond, OK 73034-0819
Phone
(405) 819-1349
NPI assigned
Mar 9, 2010
Last updated
May 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 911 OK Primary

Addresses

Primary practice location

4733 First Light LN
Edmond, OK 73034-0819

Mailing address

4733 First Light LN
Edmond, OK 73034-0819
Phone (405) 819-1349

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://securemail.therapysites.com/mail/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 4, 2024 through Jan 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
911OKMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Offices of Randy L. Crownover, LMFT, LLC PastSince Jun 22, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1043533797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 FIRST LIGHT LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730340819",
            "telephone_number": "405-819-1349",
            "fax_number": "866-351-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 FIRST LIGHT LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730340819",
            "telephone_number": "405-819-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWNOVER",
        "first_name": "RANDY",
        "middle_name": "LOUIS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://securemail.therapysites.com/mail/",
            "affiliation": "N",
            "endpointDescription": "Login to secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted secure email",
            "address_1": "4733 First Light Ln",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730340819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.