Organization Active NPI

Crowder Family Counseling & Therapy Services Inc

  • Marriage & Family Therapist
  • Colton, CA
National Provider Identifier
1164148995
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CROWDER FAMILY COUNSELING & THERAPY SERVICES INC
Doing business as
Crowder Family Counseling & Therapy Services Inc
Practice address
3070 Canyon Vista Dr
Colton, CA 92324-9770
Phone
(909) 653-0703
Fax
(888) 245-9901
NPI assigned
Oct 13, 2022
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Lucille Crowder, LMFTNPI 1982046371
Title
LMFT
Phone
(909) 653-0703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

3070 Canyon Vista Dr
Colton, CA 92324-9770

Mailing address

3070 Canyon Vista Dr
Colton, CA 92324-9770
Phone (909) 653-0703

Other practice location 1

308 W State St Ste 3D
Redlands, CA 92373-4653
Phone (909) 566-9669

Other names 1

  • Crowder Family Counseling & Therapy Services Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604003665 CA Part B Supplier - Clinic/Group Practice 9335681436 Receives reassigned benefits from 1 practitioner
Practice locations: Colton, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1164148995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 CANYON VISTA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249770",
            "telephone_number": "909-653-0703",
            "fax_number": "888-245-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 CANYON VISTA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249770",
            "telephone_number": "909-653-0703",
            "fax_number": "888-245-9901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 W State St Ste 3D",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734653",
            "country_code": "US",
            "telephone_number": "909-566-9669",
            "fax_number": "909-353-4985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROWDER FAMILY COUNSELING & THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "909-653-0703",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crowder Family Counseling & Therapy Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.