Active NPI
Janis Irene Crawford, LPC
- Professional Counselor
- Tualatin, OR
National Provider Identifier
1114270790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C2629
- Practice address
- 18650 SW Boones Ferry Rd Ste 3
Tualatin, OR 97062-8491 - Phone
- (503) 680-4734
- NPI assigned
- Oct 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2629 | OR | Primary |
| Psychoanalysis Psychologist | 103TP0814X | C2629 | OR |
Addresses
Primary practice location
18650 SW Boones Ferry Rd Ste 3
Tualatin, OR 97062-8491
Mailing address
3523 NE 45TH Ave
Portland, OR 97213-1021
Phone (307) 321-3212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2629 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350691200000",
"number": "1114270790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3523 NE 45TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131021",
"telephone_number": "307-321-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18650 SW BOONES FERRY RD STE 3",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628491",
"telephone_number": "503-680-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JANIS",
"middle_name": "IRENE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-20",
"last_updated": "2012-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C2629",
"primary": true
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "OR",
"license": "C2629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.