Active NPI
Jacquelyn Crim McCrary, M.ED., LPC, NCC
- Counselor
- Lubbock, TX
National Provider Identifier
1295945624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 17722
- Practice address
- 9609 Vicksburg Ave
Lubbock, TX 79424-4835 - Phone
- (806) 794-8162
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 17722 | TX | Primary |
Addresses
Primary practice location
9609 Vicksburg Ave
Lubbock, TX 79424-4835
Mailing address
9609 Vicksburg Ave
Lubbock, TX 79424-4835
Phone (806) 794-8162
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17722 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295945624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9609 VICKSBURG AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794244835",
"telephone_number": "806-794-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9609 VICKSBURG AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794244835",
"telephone_number": "806-794-8162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRARY",
"first_name": "JACQUELYN",
"middle_name": "CRIM",
"name_prefix": "Ms.",
"credential": "M.ED., LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "17722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.