Marnee Crutchfield, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19337 Issued in TX

Practice address

4425 W Airport Fwy Ste 122
Irving, TX 75062-5817

Phone

(832) 338-4711

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Optimal Therapeutic Services, PLLC

  • Professional Counselor
  • Irving, TX
  • NPI 1639703143
  NPD Authorized official

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1235322801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 N. BEACH STREET",
            "address_2": "SUITE 114, #204",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "832-338-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W AIRPORT FWY STE 122",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625817",
            "telephone_number": "832-338-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13810 Champion Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770691844",
            "country_code": "US",
            "telephone_number": "281-444-9553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "MARNEE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235322801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marnee.crutchfield@optimalts.org",
            "affiliation": "N",
            "address_1": "4425 W Airport Fwy Ste 122",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750625817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rontetta R Crosby, NP
• Cross Care of North Texas LLC
• Crossover Medical Group
• Alexandria Crouch, DC
• Shelley Crowder, BCBA
• Edel H Cruz Rosales, BC-HIS
• Angel Ottoniel Cruz
• Erendira Cruz, ATC, LAT
• Melissa Y Cruz
• Noe Ruben Cruz, BS

• Professional Counselor in Irving, TX
• Providers in Irving, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.