Active NPI
Melissa Ann Crutchfield
- Mental Health Counselor
- Lakewood, CO
National Provider Identifier
1184244378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0016882
- Practice address
- 13701 W Jewell Ave Ste 200
Lakewood, CO 80228-6033 - Phone
- (702) 204-3800
- NPI assigned
- Apr 17, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0016882 | CO | Primary |
Addresses
Primary practice location
13701 W Jewell Ave Ste 200
Lakewood, CO 80228-6033
Mailing address
2400 S Ogden St # 1
Denver, CO 80210-5866
Phone (702) 204-3800
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 |
|---|---|---|---|
| 0016882 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1184244378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S OGDEN ST # 1",
"city": "DENVER",
"state": "CO",
"postal_code": "802105866",
"telephone_number": "702-204-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13701 W JEWELL AVE STE 200",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802286033",
"telephone_number": "702-204-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTCHFIELD",
"first_name": "MELISSA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0016882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.