Individual provider Active NPI

Joseph Crouch, LMFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1043886682
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120555 Issued in CA
Practice address
3052 Luna Dr
Ventura, CA 93003-1623
Phone
(805) 612-7127
NPI assigned
Jun 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 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 120555 CA Primary

Addresses

Primary practice location

3052 Luna Dr
Ventura, CA 93003-1623

Mailing address

3052 Luna Dr
Ventura, CA 93003-1623
Phone (805) 612-7127

Other practice location 1

28100 Bouquet Canyon Rd Ste 218
Santa Clarita, CA 91350-2009
Phone (661) 505-8415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241015004301 AZ Practitioner - Marriage and Family Therapist 4587196589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Markman LMFT Inc. Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1043886682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 LUNA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031623",
            "telephone_number": "805-612-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 LUNA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031623",
            "telephone_number": "805-612-7127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28100 Bouquet Canyon Rd Ste 218",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913502009",
            "country_code": "US",
            "telephone_number": "661-505-8415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "JOSEPH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.