Charlene Crawford

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1340 S Highway 27 Ste C
Somerset, KY 42501-2900

Phone

(606) 219-0856

NPI assigned

Dec 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Breakthrough Soul Evolution

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1639883390
  NPD

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1194437947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 STRINGER DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011665",
            "telephone_number": "606-219-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S HIGHWAY 27 STE C",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012900",
            "telephone_number": "606-219-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria D Crabtree
• Patricia Crabtree
• Shawn Douglas Crabtree, LCSW
• Tamara B Cranfill, CCC/SLP
• Kari L Craun, D.O.
• Merritt D Crawford, RD, LD
• Sean Michael Craze, DO
• Elizabeth Crew, LPN
• Terry Monroe Cromer
• Mackenzie Nicole Cross

• Community/Behavioral Health Agency in Somerset, KY
• Providers in Somerset, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.