Active NPI
Yolanda Crouch, LPC
- Professional Counselor
- Middleton, WI
National Provider Identifier
1174008122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8804
- Practice address
- 2275 Deming Way Ste 180
Middleton, WI 53562-5527 - Phone
- (608) 282-8200
- Fax
- (608) 262-9246
- NPI assigned
- Sep 26, 2018
- Last updated
- Jan 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180012611 | IL | |
| Professional Counselor | 101YP2500X | 8804 | WI | Primary |
Addresses
Primary practice location
2275 Deming Way Ste 180
Middleton, WI 53562-5527
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other practice location 1
2424 40th Ave
Moline, IL 61265-7215
Phone (309) 553-9050
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | beokwithDrJ@be-opened.com | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180012611 | IL | MD | Mental Health Counselor |
Interoperability endpoints
- beokwithdrj@be-opened.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1174008122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 DEMING WAY STE 180",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625527",
"telephone_number": "608-282-8200",
"fax_number": "608-262-9246"
}
],
"practiceLocations": [
{
"address_1": "2424 40th Ave",
"address_purpose": "LOCATION",
"city": "Moline",
"state": "IL",
"postal_code": "612657215",
"country_code": "US",
"telephone_number": "309-553-9050",
"fax_number": "888-243-3903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROUCH",
"first_name": "YOLANDA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180012611",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8804",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "beokwithDrJ@be-opened.com",
"affiliation": "N",
"endpointDescription": "counseling site",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2424 40th Ave",
"city": "Moline",
"state": "IL",
"country_code": "US",
"postal_code": "612657215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.