Active NPI
Karen Denese Taylor-Crawford, MD
- Child & Adolescent Psychiatry Physician
- Willmar, MN
National Provider Identifier
1255444311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 61895
- Practice address
- 1701 Technology Dr NE
Willmar, MN 56201-2275 - Phone
- (320) 231-5421
- Fax
- (320) 231-5901
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036056639 | IL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 61895 | MN | Primary |
Addresses
Primary practice location
1701 Technology Dr NE
Willmar, MN 56201-2275
Mailing address
3208 W Lake St # 23
Minneapolis, MN 55416-4512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61895 | Other | MN | STATE LICENSING BOARD |
Other names 1
- Karen D Crawford
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: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61895 | MN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K.a.M Alliance, Inc. | Current | Accepting new patients | |
| Karen Taylor-Crawford and Associates Think Clearly | Past | Accepting new patients | |
| Child and Adolescent Behavioral Health Services | Past | Accepting new patients | |
| Karen Taylor Crawford and Associates | Past | Accepting new patients |
Locations
2215 W 95th St
#100
Chicago, IL 60643
Phone (773) 239-9600
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1548629801
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1003046152
-
- Children's Hospital
- Willmar, MN
- NPI 1609091388
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1598024200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1255444311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 W LAKE ST # 23",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554164512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 TECHNOLOGY DR NE",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562012275",
"telephone_number": "320-231-5421",
"fax_number": "320-231-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-CRAWFORD",
"first_name": "KAREN",
"middle_name": "DENESE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036056639",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MN",
"license": "61895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSING BOARD",
"identifier": "61895",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "CRAWFORD",
"middle_name": "D",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.