Individual provider Active NPI

Jessica Mara Crawford, LPC

  • Professional Counselor
  • Waterford, MI
National Provider Identifier
1154847523
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016163 Issued in MI
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

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, PLLCGroup PAC ID 4688978604, 13 clinicians

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

LicenseStateTypeSpecialty
6401016163MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Programs, Inc. CurrentSince May 1, 2024 Accepting new patients
Stepping Stones Counseling Center, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Community Programs Inc. CurrentSince May 1, 2024 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.

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

Verify at the official NPI Registry.