Organization Active NPI

Crawford Counseling Services LLC

  • Community/Behavioral Health Agency
  • Lake Havasu City, AZ
National Provider Identifier
1215454459
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC-15548 Issued in AZ
Legal business name
CRAWFORD COUNSELING SERVICES LLC
Practice address
2182 McCulloch Blvd N Ste 3
Lake Havasu City, AZ 86403-6880
Phone
(928) 600-5497
Fax
(888) 276-8290
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Ms. Delores Lee Crawford, LPCNPI 1336332279
Title
Clinical Mental Health Counselor
Phone
(928) 600-5497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC-15548 AZ Primary

Addresses

Primary practice location

2182 McCulloch Blvd N Ste 3
Lake Havasu City, AZ 86403-6880

Mailing address

2182 McCulloch Blvd N Ste 3
Lake Havasu City, AZ 86403-6880
Phone (928) 600-5497

Other identifiers 1

IdentifierTypeStateIssuer
079113MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2182 McCulloch Blvd N
Ste 3
Lake Havasu City, AZ 86403
Phone (928) 600-5497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1215454459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 MCCULLOCH BLVD N STE 3",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036880",
            "telephone_number": "928-600-5497",
            "fax_number": "888-276-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 MCCULLOCH BLVD N STE 3",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036880",
            "telephone_number": "928-600-5497",
            "fax_number": "888-276-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "DELORES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "928-600-5497",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LPC-15548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079113",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.