Active NPI
Jennifer Crockett
- Marriage & Family Therapist
- Lancaster, CA
National Provider Identifier
1508102146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT111900
- Practice address
- 921 W Avenue J Ste C
Lancaster, CA 93534-3443 - Phone
- (661) 476-0336
- NPI assigned
- Jan 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AMFT109951 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT111900 | CA | Primary |
Addresses
Primary practice location
921 W Avenue J Ste C
Lancaster, CA 93534-3443
Mailing address
921 W Avenue J Ste C
Lancaster, CA 93534-3443
Phone (661) 476-0336
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT109951 | CA | MD | Mental Health Counselor |
| LMFT111900 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508102146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 W AVENUE J STE C",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343443",
"telephone_number": "661-476-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 W AVENUE J STE C",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343443",
"telephone_number": "661-476-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKETT",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT109951",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT111900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.