Active NPI
Jessica Mara Crawford, LPC
- Professional Counselor
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401016163
- Practice address
- 269 Summit Dr
Waterford, MI 48328-3364 - Phone
- (248) 461-2892
- NPI assigned
- Aug 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401016163 | MI | Primary |
Addresses
Primary practice location
269 Summit Dr
Waterford, MI 48328-3364
Mailing address
200 Howard Lake Rd
Leonard, MI 48367-1202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240530000441 | MI | Practitioner - Mental Health Counselor | 7618319021 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stepping Stones Counseling Center, PLLC
Practice addresses (Care Compare)
31205 23 Mile Rd
Chesterfield, MI 48047-1848
Phone (586) 213-1850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401016163 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Programs, Inc. | Current | Accepting new patients | |
| Stepping Stones Counseling Center, PLLC | Current | Accepting new patients | |
| Community Programs Inc. | Current | Accepting new patients |
Locations
31205 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 213-1850
37400 Garfield Rd
Ste 130
Clinton Twp, MI 48036
Phone (586) 213-1850
G3500 Flushing Rd
Ste 200
Flint, MI 48504
Phone (248) 599-8999
1435 N Oakland Blvd
Waterford, MI 48327
Phone (248) 406-0090
269 Summit Dr
Waterford, MI 48328
Phone (248) 599-8999
1255 N Oakland Blvd
Waterford, MI 48327
Phone (248) 406-0090
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Waterford, MI
- NPI 1003247362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1154847523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOWARD LAKE RD",
"city": "LEONARD",
"state": "MI",
"postal_code": "483671202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 SUMMIT DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283364",
"telephone_number": "248-461-2892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JESSICA",
"middle_name": "MARA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401016163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.