Individual provider Active NPI

Delores Lee Crawford, M.A. L.P.C.

  • Mental Health Counselor
  • Lake Havasu City, AZ
National Provider Identifier
1336332279
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-15548 Issued in AZ
Practice address
2182 McCulloch Blvd N Ste 3
Lake Havasu City, AZ 86403-6880
Phone
(928) 600-5497
Fax
(888) 276-8290
NPI assigned
Aug 23, 2007
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-15548 AZ Primary
Professional Counselor 101YP2500X 757435 AZ

Addresses

Primary practice location

2182 McCulloch Blvd N Ste 3
Lake Havasu City, AZ 86403-6880

Mailing address

2182 McCulloch Blvd N Ste 3
Lake Havasu City, AZ 86403-6880
Phone (928) 600-5497

Other identifiers 2

IdentifierTypeStateIssuer
314755MedicaidAZ
079113MedicaidAZ

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 Arts

State licenses

LicenseStateTypeSpecialty
LPC-15548AZMDMental Health Counselor
757435AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Counseling Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1336332279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 MCCULLOCH BLVD N STE 3",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036880",
            "telephone_number": "928-600-5497",
            "fax_number": "888-276-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 MCCULLOCH BLVD N STE 3",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036880",
            "telephone_number": "928-600-5497",
            "fax_number": "888-276-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "DELORES",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M.A. L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-15548",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "757435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314755",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079113",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.