Active NPI
Billy D. Crawford, MS
- Mental Health Counselor
- Texarkana, TX
National Provider Identifier
1053436048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11374
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P9908019 | AR | MD | Professional Counselor |
| 87-1E | AR | MD | Clinical Psychologist |
| 1-2444 | TX | MD | Clinical Psychologist |
| 11374 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brittain & Associates Inc | Clinical | Current | 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.
-
dba Carousel Clinical Services
- Clinical Psychologist
- Ore City, TX
- NPI 1285650457
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.