Organization Active NPI

Jessie Crawford Recovery Center

  • Addiction (Substance Use Disorder) Counselor
  • Sun Prairie, WI
National Provider Identifier
1124372586
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
JESSIE CRAWFORD RECOVERY CENTER
Practice address
131 Clarmar Dr
Sun Prairie, WI 53590-2664
Phone
(608) 318-0932
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Ms. Samantha Labonte
Title
Admin
Phone
(414) 858-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

131 Clarmar Dr
Sun Prairie, WI 53590-2664

Mailing address

6400 Industrial Loop
Greendale, WI 53129-2452
Phone (414) 858-4141

Other identifiers 1

IdentifierTypeStateIssuer
1124372586MedicaidWI

Other names 1

  • JC Recovery Center Doing business as

National Provider Directory

National Provider Directory

Locations

2101 N Sherman Ave
Madison, WI 53704
Phone (608) 241-4285

4222 Milwaukee St
Ste 2
Madison, WI 53714
Phone (608) 467-9134

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1124372586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-858-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CLARMAR DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902664",
            "telephone_number": "608-318-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE CRAWFORD RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "LABONTE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "414-858-4141",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124372586",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.