Bryan O'Donnell Crutchfield, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0730000343 Issued in VA

Practice address

10301 Democracy LN Ste 302
Fairfax, VA 22030-2545

Phone

(571) 223-7588

NPI assigned

Jul 24, 2023

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Jirah Corporation

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1649997131

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1285314393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4263 NORMANDY CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224083909",
            "telephone_number": "434-509-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN STE 302",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302545",
            "telephone_number": "571-223-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Main St Ste 1623",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235102206",
            "country_code": "US",
            "telephone_number": "757-524-2458",
            "fax_number": "757-282-2491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "BRYAN",
        "middle_name": "O'DONNELL",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0730000343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Kane Cross, PA-C
• Caroline Daniels Crossey, PHARMD, BCACP, BCADM
• Crossroads Family Counseling Center, LLC
• Kiera Crowder
• Anna L Crutchfield, M.D.
• Alejandro Gerardo Cruz
• Holly Cruz
• Liliana I. Cruz
• Yanira Alexandra Cruz
• Camilla Cryer, LPC

• Marriage & Family Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.