Crescent Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CRESCENT COUNSELING SERVICES, LLC

Practice address

459 Main St # 357
Trussville, AL 35173-1416

Phone

(205) 418-8223

Fax

(205) 708-0094

NPI assigned

Feb 12, 2019

Last updated

Feb 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jermaine A Wall, LICSWNPI 1902288814

Title

Clinical Therapist

Phone

(205) 418-8223

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jermaine A Wall, LICSW

  • Clinical Social Worker
  • Trussville, AL
  • NPI 1902288814
  NPD (past) Authorized official

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1336605609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 MAIN ST # 357",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731416",
            "telephone_number": "205-418-8223",
            "fax_number": "205-708-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 MAIN ST # 357",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731416",
            "telephone_number": "205-418-8223",
            "fax_number": "205-708-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "205-418-8223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Chaney Compton, OD
• Yvonne Chodaba Conway, MD
• Gladys Cooks
• Krista Stern Cowley, DPT
• Creative Therapeutic Solutions LLC
• Caroline Boudreau Crouse, FNP-BC
• James Franklin Crumb, CRNP
• James Cutrer, DMD
• Michelle Dailey
• Daniel a. Nix DMD, P.C.

• Community/Behavioral Health Agency in Trussville, AL
• Providers in Trussville, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.