Active NPI
Nancy Denise K Crockett, PH.D.
- Professional Counselor
- Greer, SC
National Provider Identifier
1184954380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5147
- Practice address
- 311 Bennett Center Dr
Greer, SC 29650-1259 - Phone
- (864) 968-9687
- Fax
- (864) 968-9449
- NPI assigned
- Jan 11, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5147 | SC | Primary |
Addresses
Primary practice location
311 Bennett Center Dr
Greer, SC 29650-1259
Mailing address
109 Raintree Dr
Taylors, SC 29687-4516
Phone (864) 313-6530
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Therapy & Trauma Center | Professional | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1184954380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 RAINTREE DR",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296874516",
"telephone_number": "864-313-6530",
"fax_number": "864-968-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 BENNETT CENTER DR",
"city": "GREER",
"state": "SC",
"postal_code": "296501259",
"telephone_number": "864-968-9687",
"fax_number": "864-968-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKETT",
"first_name": "NANCY DENISE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.