Active NPI
Terry Diane Crotinger, LPC
- Professional Counselor
- Raton, NM
National Provider Identifier
1508811464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC 0159381
- Practice address
- 250 Park Avenue
Raton, NM 87740 - Phone
- (575) 707-2257
- Fax
- (888) 972-3649
- NPI assigned
- May 22, 2006
- Last updated
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC1658 | AZ | |
| Professional Counselor | 101YP2500X | LPCC 0159381 | NM | Primary |
Addresses
Primary practice location
250 Park Avenue
Raton, NM 87740
Mailing address
PO Box 1396
Raton, NM 87740-1396
Phone (575) 707-2257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002479 | Other | AZ | AHCCCS |
Other names 1
- Terry D Crotinger
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 |
|---|---|---|---|
| LPC1658 | AZ | MD | Professional Counselor |
| LPCC 0159381 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tdcrotinger | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Raton, NM
- NPI 1083001002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1508811464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1396",
"city": "RATON",
"state": "NM",
"postal_code": "877401396",
"telephone_number": "575-707-2257",
"fax_number": "888-972-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK AVENUE",
"city": "RATON",
"state": "NM",
"postal_code": "87740",
"telephone_number": "575-707-2257",
"fax_number": "888-972-3649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTINGER",
"first_name": "TERRY",
"middle_name": "DIANE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC1658",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "LPCC 0159381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "002479",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERRY",
"last_name": "CROTINGER",
"middle_name": "D",
"credential": "LPCC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Raton, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.