Active NPI
Jamar Crow
- Mental Health Counselor
- Mount Vernon, NY
National Provider Identifier
1174095541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P133568
- Practice address
- 109 E 4TH St Apt 1C
Mount Vernon, NY 10550-4274 - Phone
- (914) 602-6353
- NPI assigned
- Dec 26, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Mental Health Counselor | 101YM0800X | P133568 | NY | Primary |
Addresses
Primary practice location
109 E 4TH St Apt 1C
Mount Vernon, NY 10550-4274
Mailing address
109 E 4TH St Apt 1C
Mount Vernon, NY 10550-4274
Phone (914) 602-6353
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P133568 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kellumenterprisess | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Mount Vernon, NY
- NPI 1407740632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1174095541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E 4TH ST APT 1C",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105504274",
"telephone_number": "914-602-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E 4TH ST APT 1C",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105504274",
"telephone_number": "914-602-6353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROW",
"first_name": "JAMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-26",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P133568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.