Crummett Associates, PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

1443 AND 3287 Issued in NC

Legal business name

CRUMMETT ASSOCIATES, PA

Doing business as

Elaine Crummett, LPA, LPC

Practice address

408 E Broad St
Statesville, NC 28677-5329

Phone

(794) 880-2384

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Elaine Johnson Crummett, LPA, LPC

Title

Psychological Associate

Phone

(704) 880-2384

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elaine Crummett, LPA, LPC Doing business as

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1487817243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 HUNTER ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773532",
            "telephone_number": "704-880-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775329",
            "telephone_number": "794-880-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUMMETT ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "CRUMMETT",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "PSYCHOLOGICAL ASSOCIATE",
        "authorized_official_telephone_number": "704-880-2384",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "1443 AND 3287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1245347335",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elaine Crummett, LPA, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crossroads Speech Therapy, PLLC
• Desiree' Benfield Crosswhite, BSW, MS, LCSW
• Keith Allen Crouch, DDS
• Timothy Crouch, DMD
• Jennifer Leigh Crow, MA, LPCA, LCASA
• Elaine Sharon Crummett, L.P.A., L.P.C.
• Crush It Athletics and Physical Therapy
• Tao Cui, MD
• Amiya Cunningham, DMD
• Cuong Tan Doan

• Adult Mental Health Clinic/Center in Statesville, NC
• Providers in Statesville, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.