Individual provider Active NPI

Stacia Alise Crawford, LPCC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1063664332
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1600093 Issued in OH
Practice address
2000 Integrity Dr S
Columbus, OH 43209-2740
Phone
(614) 445-7447
Fax
(614) 445-7726
NPI assigned
Oct 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1600093 OH
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X E.1600093 OH Primary

Addresses

Primary practice location

2000 Integrity Dr S
Columbus, OH 43209-2740

Mailing address

2000 Integrity Drive South
Columbus, OH 43209
Phone (614) 445-7447

Other practice location 1

187 W Schrock Rd
Westerville, OH 43081-2890
Phone (614) 355-8315

Other identifiers 1

IdentifierTypeStateIssuer
2847147MedicaidOH

Other names 1

  • Ms. Stacia Alise Richardson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1600093OHMDProfessional Counselor
E.1600093OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Nov 19, 2024 Accepting new patients
The Village Network Past Accepting new patients
Village Network Past Accepting new patients

Locations

2752 Erie Ave
Cincinnati, OH 45208
Phone (513) 871-0290

1890 Northwest Blvd
Ste 140
Columbus, OH 43212
Phone (614) 515-6291

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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": "1224288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1063664332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 INTEGRITY DRIVE SOUTH",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43209",
            "telephone_number": "614-445-7447",
            "fax_number": "614-445-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 INTEGRITY DR S",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092740",
            "telephone_number": "614-445-7447",
            "fax_number": "614-445-7726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 W Schrock Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812890",
            "country_code": "US",
            "telephone_number": "614-355-8315",
            "fax_number": "614-355-8361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "STACIA",
        "middle_name": "ALISE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-18",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "1600093",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1600093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2847147",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIA",
            "last_name": "RICHARDSON",
            "middle_name": "ALISE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.