Beverly Ann Crittendon, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5041 New Centre Dr
Wilmington, NC 28403-1680

Phone

(191) 039-2894

NPI assigned

May 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1255625935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 NEW CENTRE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031680",
            "telephone_number": "191-039-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 NEW CENTRE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031680",
            "telephone_number": "191-039-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITTENDON",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Crenshaw
• David L Crenshaw, D.MIN. LMFT LCAS
• John Patrick Crisp, D.D.S.
• Susana Crispin, NBC-HWC
• Adina E Critcher, MS, ACSM-CEP, CCRP
• Amy Crocker, MA, CCC-SLP
• Jillian Faith Crocker
• John W Cromer Jr., MD
• Hannah Cronin
• Jonathan Oliver Crook, PHD

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.