Active NPI
Brian Crouse, LIPC
- Mental Health Counselor
- Hastings, NE
National Provider Identifier
1295169704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 989
- Practice address
- 604 N Saint Joseph Ave
Hastings, NE 68901-7530 - Phone
- (402) 310-5607
- Fax
- (360) 363-5607
- NPI assigned
- Sep 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 989 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 3779 | NE | |
| Professional Counselor | 101YP2500X | 1880 | NE |
Addresses
Primary practice location
604 N Saint Joseph Ave
Hastings, NE 68901-7530
Mailing address
604 N Saint Joseph Ave
Hastings, NE 68901-7530
Phone (402) 310-5607
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 |
|---|---|---|---|
| 3779 | NE | MD | Mental Health Counselor |
| 1880 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1295169704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N SAINT JOSEPH AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689017530",
"telephone_number": "402-310-5607",
"fax_number": "360-363-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N SAINT JOSEPH AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689017530",
"telephone_number": "402-310-5607",
"fax_number": "360-363-5607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUSE",
"first_name": "BRIAN",
"credential": "LIPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-03",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "989",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3779",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1880",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hastings, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.