Individual provider Active NPI

Joshua McLeod Crocker, LMFT

  • Mental Health Counselor
  • Redding, CA
National Provider Identifier
1043638430
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1650 Oregon St Ste 210
Redding, CA 96001-1757
Phone
(530) 395-4777
Fax
(530) 243-3391
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2019

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 Primary

Addresses

Primary practice location

1650 Oregon St Ste 210
Redding, CA 96001-1757

Mailing address

1650 Oregon St Ste 210
Redding, CA 96001-1757
Phone (530) 395-4777

Other practice location 1

542 Ocean St
suite d
Santa Cruz, CA 95060-6622
Phone (831) 459-0444 ext. 235

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

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564790400000",
    "number": "1043638430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 OREGON ST STE 210",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011757",
            "telephone_number": "530-395-4777",
            "fax_number": "530-243-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 OREGON ST STE 210",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011757",
            "telephone_number": "530-395-4777",
            "fax_number": "530-243-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 Ocean St",
            "address_2": "suite d",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950606622",
            "country_code": "US",
            "telephone_number": "831-459-0444 x235",
            "fax_number": "831-459-0665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "JOSHUA",
        "middle_name": "MCLEOD",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2019-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; 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.