Individual provider Active NPI

Billy D. Crawford, MS

  • Mental Health Counselor
  • Texarkana, TX
National Provider Identifier
1053436048
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11374 Issued in TX
Practice address
25 Holly Ridge Dr
Texarkana, TX 75503-1105
Phone
(903) 278-7353
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X P9908019 AR
Professional Counselor 101YP2500X 11374 TX
Clinical Psychologist 103TC0700X 87-1E AR
Clinical Psychologist 103TC0700X 1-2444 TX
Mental Health Counselor 101YM0800X 11374 TX Primary

Addresses

Primary practice location

25 Holly Ridge Dr
Texarkana, TX 75503-1105

Mailing address

25 Holly Ridge Dr
Texarkana, TX 75503-1105
Phone (903) 278-7353

Other practice location 1

701 Arkansas Blvd
Texarkana, AR 71854-2105
Phone (870) 772-5028

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
I20231117002594 TX Practitioner - Mental Health Counselor 7315395019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brittain and Associates IncGroup PAC ID 2668455221, 16 clinicians

Practice addresses (Care Compare)

213 US Hwy 259 N
PO Box 398
Ore City, TX 75683-2106
Phone (903) 968-4641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P9908019ARMDProfessional Counselor
87-1EARMDClinical Psychologist
1-2444TXMDClinical Psychologist
11374TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brittain & Associates Inc Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

213 US Highway 259 N
Ore City, TX 75683
Phone (903) 968-4641

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1053436048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOLLY RIDGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031105",
            "telephone_number": "903-278-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOLLY RIDGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031105",
            "telephone_number": "903-278-7353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Arkansas Blvd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718542105",
            "country_code": "US",
            "telephone_number": "870-772-5028",
            "fax_number": "870-772-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "BILLY",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P9908019",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11374",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "87-1E",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "1-2444",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "11374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.