Individual provider Active NPI

Maggie Estell-Crump, MA, LPC, BCPC

  • Professional Counselor
  • Inkster, MI
National Provider Identifier
1437549490
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401000798 Issued in MI
Practice address
25951 Avondale St
Inkster, MI 48141-1932
Phone
(313) 715-9450
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401000798 MI Primary

Addresses

Primary practice location

25951 Avondale St
Inkster, MI 48141-1932

Mailing address

25951 Avondale St
Inkster, MI 48141-1932
Phone (313) 715-9450

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

LicenseStateTypeSpecialty
6401000798MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1437549490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25951 AVONDALE ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411932",
            "telephone_number": "313-715-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25951 AVONDALE ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411932",
            "telephone_number": "313-715-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTELL-CRUMP",
        "first_name": "MAGGIE",
        "credential": "MA, LPC, BCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401000798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inkster, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.