Active NPI
Anita Ballentine Crutcher
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1316533326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16178
- Practice address
- 1308 Charland CT
Raleigh, NC 27603-3941 - Phone
- (919) 889-4356
- Fax
- (919) 779-7285
- NPI assigned
- Dec 14, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16178 | NC | Primary |
Addresses
Primary practice location
1308 Charland CT
Raleigh, NC 27603-3941
Mailing address
1308 Charland CT
Raleigh, NC 27603-3941
Phone (919) 889-4356
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 |
|---|---|---|---|
| 16178 | NC | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1316533326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 CHARLAND CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033941",
"telephone_number": "919-889-4356",
"fax_number": "919-779-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 CHARLAND CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033941",
"telephone_number": "919-889-4356",
"fax_number": "919-779-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTCHER",
"first_name": "ANITA",
"middle_name": "BALLENTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "16178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.