Crandell's Enterprise's Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CRANDELL'S ENTERPRISE'S INC.

Practice address

5312 Six Forks Rd
301
Raleigh, NC 27609-4458

Phone

(919) 790-7663

Fax

(919) 790-7139

NPI assigned

Jun 19, 2009

Organization subpart

No

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

Authorized official

Name

Sandra Mayo

Title

Manager

Phone

(919) 790-7663

Specialties & licenses 5

Addresses

Other names 1

• Ann's Family Care Home Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Ann's Country Manor4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Ann's Country Manor

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1558776948
  NPD tax ID
• Crandell's Enterprises Inc

  • Mental Health Counselor
  • Wendell, NC
  • NPI 1255752085
  NPD tax ID
• Crandell's Enterprises Inc

  • Community/Behavioral Health Agency
  • Garner, NC
  • NPI 1770998122
  NPD tax ID

Locations

Practitioners 6

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.

• Dwan Kelsey, NP

  • Adult Health Nurse Practitioner
  • Cary, NC
  • NPI 1629297429
  Medicare reassignment NPD
• Sondra H Solomon, APMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1366747412
  Medicare reassignment NPD
• Keisha J Blount, MA,LCAS,CCS

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
  • NPI 1922269570

  Community/Behavioral Health

  NPD (past)
• Quincy Dinnerson

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1023337425
  NPD (past)
• Malkia Rayner, R.N.

  • Registered Nurse
  • Raleigh, NC
  • NPI 1013247501
  NPD (past)
• Daniel Saft

  • Respite Care
  • Raleigh, NC
  • NPI 1154625929
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1346477098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 SIX FORKS RD",
            "address_2": "301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094458",
            "telephone_number": "919-790-7663",
            "fax_number": "919-790-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 SIX FORKS RD",
            "address_2": "301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094458",
            "telephone_number": "919-790-7663",
            "fax_number": "919-790-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANDELL'S ENTERPRISE'S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-790-7663"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "FCL-092-084",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ann's Family Care Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stacy Craig
• Heather Barkley Craige, MSW, LCSW
• Bryony Williams Crain, NCC, LPC
• Kathryn Elizabeth Crampton, MD
• Coby Crandall, CPSS
• Andrea Kuntaraf Crane, M.D.
• Jeffrey M Crane, M.D.
• John Howard Crapo, LPC
• Christina H Crater, M.D.
• Glenn D Crater, MD

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.