Jamie Crow, LPC UNDER SUP

Key facts

NPI

1114253259

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

303 E Court St
Atoka, OK 74525-2047

Phone

(580) 889-5555

NPI assigned

Oct 25, 2009

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 25, 2009.

{
    "created_epoch": "1256428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256428800000",
    "number": "1114253259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E COURT ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252047",
            "telephone_number": "580-889-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E COURT ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252047",
            "telephone_number": "580-889-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "JAMIE",
        "credential": "LPC UNDER SUP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-25",
        "last_updated": "2009-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Atoka, OK · Mental Health Counselor in Oklahoma