Active NPI
Jamie Crockett
- Professional Counselor
- Lordsburg, NM
National Provider Identifier
1326402199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CTB-2022-0048
- Practice address
- 530 De Moss St
Lordsburg, NM 88045-2618 - Phone
- (575) 542-2369
- NPI assigned
- Apr 7, 2016
- Last updated
- Jun 18, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CTB-2022-0048 | NM | Primary |
| Midwife | 176B00000X | 466 | CA |
Addresses
Primary practice location
530 De Moss St
Lordsburg, NM 88045-2618
Mailing address
530 De Moss St
Lordsburg, NM 88045-2618
Phone (575) 542-2369
Other practice location 1
7211 Perry Creek Rd
Somerset, CA 95684-9207
Phone (916) 203-8457
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 |
|---|---|---|---|
| CTB-2022-0048 | NM | MD | Mental Health Counselor |
| 466 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1326402199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 DE MOSS ST",
"city": "LORDSBURG",
"state": "NM",
"postal_code": "880452618",
"telephone_number": "575-542-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 DE MOSS ST",
"city": "LORDSBURG",
"state": "NM",
"postal_code": "880452618",
"telephone_number": "575-542-2369"
}
],
"practiceLocations": [
{
"address_1": "7211 Perry Creek Rd",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "CA",
"postal_code": "956849207",
"country_code": "US",
"telephone_number": "916-203-8457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROCKETT",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CTB-2022-0048",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "466",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lordsburg, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.