Nicholas Crum, LPCC
Individual provider Active NPI Professional Counselor · Maysville, KY
NPI 1093072472 · NPPES record last updated Feb 4, 2015
Key facts
- NPI
- 1093072472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPCPCC00216420 (KY)
- Practice address
- 611 Forest Ave
Maysville, KY 41056-1411 - Phone
- (606) 564-4016
- Fax
- (606) 564-8288
- NPI assigned
- Apr 23, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCPCC00216420 | KY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCPCC00216420 | KY | Yes |
Addresses
Primary practice location
611 Forest Ave
Maysville, KY 41056-1411
Mailing address
611 Forest Ave
Maysville, KY 41056-1411
Phone (606) 564-4016
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30608012 | Medicaid | KY |
Other providers in Maysville, KY
- Ryan Patrick Cooper
- Holly Copley
- Belle Bernice Cord
- Jeremy Sylvanus Croffie
- Margaret Crum
- Stephen Culp
- Megan R Curtis
- Travis Darnell
- Beverly Daulton
- Dara Mishea Davis
All providers in Maysville, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.