Individual provider Active NPI

Susan M Crawford, M.A, LPC

  • Professional Counselor
  • Wheat Ridge, CO
National Provider Identifier
1255481503
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1271 Issued in CO
Practice address
4851 Independence St Ste 200P
Wheat Ridge, CO 80033-6712
Phone
(303) 679-5733
Fax
(303) 567-9135
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1271 CO
Professional Counselor 101YP2500X 1271 CO Primary

Addresses

Primary practice location

4851 Independence St Ste 200P
Wheat Ridge, CO 80033-6712

Mailing address

4851 Independence St Ste 200P
Wheat Ridge, CO 80033-6712
Phone (303) 679-5733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609001115 CO Practitioner - Mental Health Counselor 0143791327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21686 150TH Ave
Tustin, MI 49688-8550

PO Box
Suite 461570
Aurora, CO 80046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1271COMDPhysician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1255481503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 INDEPENDENCE ST STE 200P",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336712",
            "telephone_number": "303-679-5733",
            "fax_number": "303-567-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 INDEPENDENCE ST STE 200P",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336712",
            "telephone_number": "303-679-5733",
            "fax_number": "303-567-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "M.A, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1271",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "1271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.