Jennifer Bauman Crosson, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC010255 Issued in GA

Practice address

1466 Knollwood Ter
Decatur, GA 30033-1907

Phone

(404) 863-5009

NPI assigned

Jun 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 18, 2024 through Jan 18, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Crosson Psychological Services

  • Community/Behavioral Health Agency
  • Decatur, GA
  • NPI 1821637877
  NPD Authorized official

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529798400000",
    "number": "1063907921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 KNOLLWOOD TER",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331907",
            "telephone_number": "404-863-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 KNOLLWOOD TER",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331907",
            "telephone_number": "404-863-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSON",
        "first_name": "JENNIFER",
        "middle_name": "BAUMAN",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-24",
        "last_updated": "2018-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane McKoy Cross, RN
• Joseph Andrew Cross, LCSW
• Sherryne L Cross, RN
• Crossings Counseling Center Inc
• Crosson Psychological Services
• Susan Nicole Crowder
• Chris M Crowe, PH.D.
• Bennie Edward Crudup, LPN
• Kendra Cruickshank
• Teresa Ann Crum, RN

• Professional Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.