Maegon Crader, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015868 Issued in PA

Practice address

397 Eagleview Blvd Ste 120
Exton, PA 19341-1150

Phone

(610) 422-3064

Fax

(484) 870-9846

NPI assigned

Apr 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Sprouts Therapy LLC

  • Professional Counselor
  • Chester Springs, PA
  • NPI 1760222418
  Medicare reassignment NPD Authorized official
• Twenty-2 Management Group LLC

  • Mental Health Counselor
  • Exton, PA
  • NPI 1437876448
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1063779536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 EAGLEVIEW BLVD STE 120",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411150",
            "telephone_number": "610-422-3064",
            "fax_number": "484-870-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 EAGLEVIEW BLVD STE 120",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411150",
            "telephone_number": "610-422-3064",
            "fax_number": "484-870-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADER",
        "first_name": "MAEGON",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64435",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Cortese, PT,DPT
• Stephanie Johanna Costello
• Patricia Ann Johnstone Countie, CRNP, RN, PMHNP-BC
• Erin Coyle, LAPC, ATR-P
• Theodora Betsy Cozan, OD
• Craig T. McHugh DPM PC
• Hunter Kain Crawley, DPT
• Creative Counseling and Wellness LLC
• Judith C Cressman, LPN
• Bernadette Crompton, DPT

• Professional Counselor in Exton, PA
• Providers in Exton, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.