Active NPI
Ralph D Crosby, MA, LIMHP, PC
- Mental Health Counselor
- Grand Island, NE
National Provider Identifier
1376689596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2717
- Practice address
- 305 W Koenig St
Grand Island, NE 68801-6036 - Phone
- (308) 380-5478
- Fax
- (308) 382-7830
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2717 | NE | Primary |
Addresses
Primary practice location
305 W Koenig St
Grand Island, NE 68801-6036
Mailing address
305 W Koenig St
Grand Island, NE 68801-6036
Phone (308) 380-5478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100261164500 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2717 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1376689596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 W KOENIG ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688016036",
"telephone_number": "308-380-5478",
"fax_number": "308-382-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W KOENIG ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688016036",
"telephone_number": "308-380-5478",
"fax_number": "308-382-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "RALPH",
"middle_name": "D",
"credential": "MA, LIMHP, PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100261164500",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.