Individual provider Active NPI

Joan Elizabeth Crawford, MS., LPC, NCC

  • Mental Health Counselor
  • Brockway, PA
National Provider Identifier
1194357103
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC011805 Issued in PA
Practice address
1701 Bond St
Brockway, PA 15824-1705
Phone
(814) 503-0453
NPI assigned
Feb 7, 2020
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC011805 PA Primary

Addresses

Primary practice location

1701 Bond St
Brockway, PA 15824-1705

Mailing address

3487 Kearney Rd
Brockway, PA 15824-1063
Phone (814) 603-1637

Other practice location 1

3487 Kearney Rd
Brockway, PA 15824-1063
Phone (814) 503-0453

Other identifiers 2

IdentifierTypeStateIssuer
1194357103MedicaidPA
1326807942MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220000441 PA Practitioner - Mental Health Counselor 5597109405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC011805PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sparkling Path LLC Mental Health CurrentSince Mar 18, 2024 Accepting new patients
Cen Clear Child Services, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1701 Bond St
Brockway, PA 15824
Phone (814) 503-0453

30 S 15th St
Ste 1550
Philadelphia, PA 19102
Phone (215) 709-7174

50 Bigler Rd
Woodland, PA 16881

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1194357103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3487 KEARNEY RD",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158241063",
            "telephone_number": "814-603-1637",
            "fax_number": "814-273-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BOND ST",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158241705",
            "telephone_number": "814-503-0453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3487 Kearney Rd",
            "address_purpose": "LOCATION",
            "city": "Brockway",
            "state": "PA",
            "postal_code": "158241063",
            "country_code": "US",
            "telephone_number": "814-503-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "credential": "MS., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194357103",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326807942",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockway, PA

Sources for this page

Verify at the official NPI Registry.