Crescent Counseling & Consulting,, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

270969-3501 Issued in UT

Legal business name

CRESCENT COUNSELING & CONSULTING,, LLC

Practice address

940 E. South Union Avenue
Midvale, UT 84047-2302

Phone

(385) 235-6926

Fax

(801) 255-7284

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Christine Wilcox, LCSW, LASUDC

Title

Single Owner LLC

Phone

(385) 235-6926

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1487851978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E. SOUTH UNION AVENUE",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472302",
            "telephone_number": "385-235-6926",
            "fax_number": "801-255-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E. SOUTH UNION AVENUE",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472302",
            "telephone_number": "385-235-6926",
            "fax_number": "801-255-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT COUNSELING & CONSULTING,, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "SINGLE OWNER LLC",
        "authorized_official_telephone_number": "385-235-6926",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LASUDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "270969-6006",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "270969-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788007788032",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Colleen Croff, LCSW
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• Cabot Curtis, D.M.D.
• Raymond J Curtis, DDS

• Clinical Social Worker in Midvale, UT
• Providers in Midvale, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.