Individual provider Active NPI

Amy Kristina Crow Sunleaf, NCC, LMHC

  • Mental Health Counselor
  • Dubuque, IA
National Provider Identifier
1356623763
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00747 Issued in IA
Practice address
799 Main St.
Ste. 110
Dubuque, IA 52001-6825
Phone
(563) 582-3784
Fax
(563) 582-4006
NPI assigned
Sep 12, 2011
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00747 IA Primary

Addresses

Primary practice location

799 Main St.
Ste. 110
Dubuque, IA 52001-6825

Mailing address

799 Main St.
Ste. 110
Dubuque, IA 52001-6825
Phone (563) 582-3784

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

LicenseStateTypeSpecialty
00747IAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1356623763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 MAIN ST.",
            "address_2": "STE. 110",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016825",
            "telephone_number": "563-582-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 MAIN ST.",
            "address_2": "STE. 110",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016825",
            "telephone_number": "563-582-3784",
            "fax_number": "563-582-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW SUNLEAF",
        "first_name": "AMY",
        "middle_name": "KRISTINA",
        "name_prefix": "Ms.",
        "credential": "NCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.