Terry L. Crimm, D.MIN.; LMFT; LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1865 Issued in SC

Practice address

1021 Maxwell Mill Rd
Suite D-2
Fort Mill, SC 29708-8093

Phone

(803) 548-4673

NPI assigned

Jun 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276300800000",
    "number": "1194046276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 EDGEWATER WAY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086953",
            "telephone_number": "803-548-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MAXWELL MILL RD",
            "address_2": "SUITE D-2",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088093",
            "telephone_number": "803-548-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIMM",
        "first_name": "TERRY",
        "middle_name": "L.",
        "credential": "D.MIN.; LMFT; LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-12",
        "last_updated": "2010-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "1642",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "613",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "1865",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.