Active NPI
Cherstan Crawford
- Mental Health Counselor
- Barstow, CA
National Provider Identifier
1245597111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 96928
- Practice address
- 309 E Mountain View St Ste 100
Barstow, CA 92311-2814 - Phone
- (760) 256-7279
- Fax
- (760) 256-7280
- NPI assigned
- Apr 17, 2012
- Last updated
- Nov 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 96928 | CA | Primary |
Addresses
Primary practice location
309 E Mountain View St Ste 100
Barstow, CA 92311-2814
Mailing address
309 E Mountain View St Ste 100
Barstow, CA 92311-2814
Phone (760) 256-7279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96928 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LSS Community Care Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Barstow, CA
- NPI 1265838023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1245597111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E MOUNTAIN VIEW ST STE 100",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923112814",
"telephone_number": "760-256-7279",
"fax_number": "760-256-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E MOUNTAIN VIEW ST STE 100",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923112814",
"telephone_number": "760-256-7279",
"fax_number": "760-256-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "CHERSTAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-17",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "96928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barstow, CA
- County of San Bernardino (Choice - Barstow Clinic)
- County of San Bernardino (CHOICE - Barstow Clinic)
- County of San Bernardino (Barstow Counseling Center)
- Jennifer Cowley, QASP-S
- Rebekah Cox, MFTI, PCCI
- Stacey Ann Cripe
- Crismali Podiatric Medical Corp (Crismali Foot and Ankle)
- Samantha L Culhane, LCSW
- Hailee Joy Curato
- Cya Optometry Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.