Individual provider Active NPI

Heather Rene Crouse, LPC

  • Professional Counselor
  • Jonesville, VA
National Provider Identifier
1205974581
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003568 Issued in VA
Practice address
34084 Wilderness Road
Jonesville, VA 24263
Phone
(276) 346-3590
Fax
(423) 467-3644
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701003568 VA
Professional Counselor 101YP2500X 0701003568 VA Primary

Addresses

Primary practice location

34084 Wilderness Road
Jonesville, VA 24263

Mailing address

1167 Spratlin Park Drive
Gray, TN 37615-6205
Phone (423) 467-3600

Other practice location 1

Route 3 Box 1700
Jonesville, VA 24263
Phone (276) 346-3590

Other practice location 2

Route 3 Box 1700
Jonesville, VA 24263
Phone (276) 346-3590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701003568VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince Jan 1, 2024 Accepting new patients
Frontier Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

1431 Duff Patt Hwy
Duffield, VA 24244
Phone (276) 431-4370

34084 Wilderness Rd
Jonesville, VA 24263

1006 US Highway 23 North
Weber City, VA 24290
Phone (276) 225-0976

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1205974581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DRIVE",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34084 WILDERNESS ROAD",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "24263",
            "telephone_number": "276-346-3590",
            "fax_number": "423-467-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Route 3 Box 1700",
            "address_purpose": "LOCATION",
            "city": "Jonesville",
            "state": "VA",
            "postal_code": "24263",
            "country_code": "US",
            "telephone_number": "276-346-3590",
            "fax_number": "276-346-3612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Route 3 Box 1700",
            "address_purpose": "LOCATION",
            "city": "Jonesville",
            "state": "VA",
            "postal_code": "24263",
            "country_code": "US",
            "telephone_number": "276-346-3590",
            "fax_number": "276-346-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "HEATHER",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701003568",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, VA

Sources for this page

Verify at the official NPI Registry.