NPIMap

Organization Active NPI

Mary K Crook LPC LLC

  • Professional Counselor
  • Augusta, GA
National Provider Identifier
1225642812
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MARY K CROOK LPC LLC
Practice address
3633 Wheeler Rd Ste 100
Augusta, GA 30909-6550
Phone
(706) 364-0252
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Mary K Crook, LPCNPI 1285057570
Title
Therapist
Phone
(706) 305-8980

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3633 Wheeler Rd Ste 100
Augusta, GA 30909-6550

Mailing address

3633 Wheeler Rd Ste 100
Augusta, GA 30909-6550
Phone (706) 364-0252

National Provider Directory

National Provider Directory

Locations

3633 Wheeler Rd
Ste 100
Augusta, GA 30909
Phone (706) 364-0252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1225642812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 WHEELER RD STE 100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096550",
            "telephone_number": "706-364-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 WHEELER RD STE 100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096550",
            "telephone_number": "706-364-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K CROOK LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "706-305-8980",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.