Individual provider Active NPI

Carmela A.M. Crawford, LPC/RPT

  • Professional Counselor
  • Winchester, VA
National Provider Identifier
1497764211
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2190 Issued in VA
Practice address
125 S Cameron St
Winchester, VA 22601-4732
Phone
(540) 722-0750
Fax
(540) 722-0751
NPI assigned
Aug 8, 2006
Reactivated
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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 2190 VA Primary

Addresses

Primary practice location

125 S Cameron St
Winchester, VA 22601-4732

Mailing address

125 S Cameron St
Winchester, VA 22601-4732
Phone (540) 722-0750

Other identifiers 1

IdentifierTypeStateIssuer
140690OtherVAANTHEM

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

State licenses

LicenseStateTypeSpecialty
2190VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Associates of Winchester PastSince May 1, 1999 Accepting new patients
Roxanne Ostlund LPC PLCC Professional Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1497764211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CAMERON ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014732",
            "telephone_number": "540-722-0750",
            "fax_number": "540-722-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S CAMERON ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014732",
            "telephone_number": "540-722-0750",
            "fax_number": "540-722-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CARMELA",
        "middle_name": "A.M.",
        "name_prefix": "Mrs.",
        "credential": "LPC/RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "deactivation_date": "2018-05-02",
        "reactivation_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "2190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140690",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.