Active NPI
Warren Glenn Crider, LPC
- Mental Health Counselor
- Oviedo, FL
National Provider Identifier
1417276353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 400 W State Road 434 Ste 1000
Oviedo, FL 32765-4323 - Phone
- (386) 346-5325
- NPI assigned
- May 18, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PMHC1971 | FL | |
| Professional Counselor | 101YP2500X | LPC005947 | GA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
400 W State Road 434 Ste 1000
Oviedo, FL 32765-4323
Mailing address
400 W State Road 434 Ste 1000
Oviedo, FL 32765-4323
Phone (386) 346-5325
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PMHC1971 | FL | MD | Mental Health Counselor |
| LPC005947 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deland Treatment Solutions, LLC | Current | Accepting new patients |
Locations
1200 W New York Ave
Deland, FL 32720
Phone (386) 346-5325
400 W State Road 434
Ste 1000
Oviedo, FL 32765
Phone (321) 415-3214
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 and National Provider Directory roles.
-
dba DeLand Treatment Solutions
- Substance Abuse Rehabilitation Facility
- Deland, FL
- NPI 1578264073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1417276353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W STATE ROAD 434 STE 1000",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327654323",
"telephone_number": "386-346-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W STATE ROAD 434 STE 1000",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327654323",
"telephone_number": "386-346-5325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIDER",
"first_name": "WARREN",
"middle_name": "GLENN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-18",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "PMHC1971",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005947",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.