Jamie Crouch
Individual provider Active NPI Professional Counselor · Macon, MO
NPI 1477965853 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1477965853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2014014453 (MO)
- Practice address
- 1119 S Missouri St Ste C
Macon, MO 63552-1485 - Phone
- (660) 346-1737
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- White Oak Counseling LLC
Practice addresses (Care Compare)
1221 Broadway
Hannibal, MO 63401-4005
Phone (573) 221-2111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240313002251 | MO | Practitioner - Mental Health Counselor | 2860838786 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03060 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Oak Counseling, LLC | Current |
Accepting new patients |
Locations
1221 Broadway
Hannibal, MO 63401
Phone (573) 221-2111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 03060 | KS | |
| Professional Counselor | 101YP2500X | 2014014453 | MO | Yes |
Addresses
Primary practice location
1119 S Missouri St Ste C
Macon, MO 63552-1485
Mailing address
34394 Nevada Ave
Anabel, MO 63431-2702
Other providers in Macon, MO
- Barbara Carter
- Nicole Carver
- Center for Surgical Specialties, PC
- Chiropractic Rehab Clinic
- Savannah Marie Clark
- Curators of the University of Missouri
- James L Deline
- Don Delrosario
- Dialysis Clinic Inc
- Alison Dowling
All providers in Macon, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.