Active NPI
Joshua McLeod Crocker, LMFT
- Mental Health Counselor
- Redding, CA
National Provider Identifier
1043638430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.