Sandra Gail Crocker, LPC, CSAC, CRC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0701007231 Issued in VA

Practice address

9609 Jefferson Davis Hwy
North Chesterfield, VA 23237-4621

Phone

(804) 275-1116

Fax

(804) 275-1850

NPI assigned

Dec 5, 2017

Last updated

Dec 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Henrico Area Mental Heatlh and Developmental Services

  dba Henrico Area Mental Health & Developmental Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Allen, VA
  • NPI 1023119773
  Medicare reassignment NPD

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1417462052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 JEFFERSON DAVIS HWY",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232374621",
            "telephone_number": "804-275-1116",
            "fax_number": "804-275-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 JEFFERSON DAVIS HWY",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232374621",
            "telephone_number": "804-275-1116",
            "fax_number": "804-275-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "SANDRA",
        "middle_name": "GAIL",
        "credential": "LPC, CSAC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701007231",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102955",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "VA",
            "license": "00116571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crisilda Christopher Crasto, PT
• Detrina Evette Crawley, LPC
• Timothy D. Crawley, CRNA
• Abigail Cress, LPC
• Sonia I Crimaldi, M.D.
• Alexandra Christine Cromer
• Kelly Crowley
• Carla Clees Crutcher, MS, RD
• Agustin Joseph Cruz, MPA, MS, LPC
• Heather Cryer, LCSW

• Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.