Individual provider Active NPI

Janis Irene Crawford, LPC

  • Professional Counselor
  • Tualatin, OR
National Provider Identifier
1114270790
Registry record updated Oct 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2629 Issued in OR
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

Updated by the provider on Oct 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C2629ORMDProfessional 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.

Verify at the official NPI Registry.