Genorris L. Crawford, LPN, LPC/MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000002224 Issued in TN

Practice address

9695 Lebanon Rd Ste 340
Mt Juliet, TN 37122-5541

Phone

(833) 432-5987

Fax

(615) 754-4756

NPI assigned

Mar 22, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Waters Wellness Center, LLC

  • Internal Medicine Physician
  • Mount Juliet, TN
  • NPI 1730698622
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1326624214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 14TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372081164",
            "telephone_number": "615-210-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 LEBANON RD STE 340",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371225541",
            "telephone_number": "833-432-5987",
            "fax_number": "615-754-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "GENORRIS",
        "middle_name": "L.",
        "credential": "LPN, LPC/MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000002224",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LPC0000002224",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000082211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leanne Cox, M.D.
• Teri Martin Crabtree, MS, NCC, LPC-MHSP
• Alison Cragwall, PHARMD
• Magdalena Crandall, OT
• Shelby Cranford, PHARMD
• Michael Allen Crick, RPH
• Danny Brandon Crockarell, DDS
• Ethan Bryce Crofford
• Lauren Paige Cross I, MMFT
• Crossroads Urgent Care, PLLC (AST-UC Mount Juliet)

• Professional Counselor in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.