Individual provider Active NPI

Detrina Evette Crawley, LPC

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1528504172
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
717760 Issued in VA
Practice address
7524 Hollyleaf CT
North Chesterfield, VA 23234-2831
Phone
(804) 245-9088
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9958 SC
Mental Health Counselor 101YM0800X 17471 NC
Professional Counselor 101YP2500X 717760 VA Primary

Addresses

Primary practice location

7524 Hollyleaf CT
North Chesterfield, VA 23234-2831

Mailing address

6601 Irongate SQ Ste a&B
North Chesterfield, VA 23234-6077
Phone (804) 621-4228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307003551 VA Practitioner - Mental Health Counselor 1153767561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6601 Irongate SQ
Suite a
North Chesterfield, VA 23234-6077
Phone (804) 621-4228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
717760VAMDProfessional Counselor
9958SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New Lyfe Counseling Services Professional CurrentSince Jan 23, 2024 Accepting new patients

Locations

6601 Irongate Sq
Ste A
North Chesterfield, VA 23234
Phone (804) 621-4228

6601 Irongate Sq
Ste Ab
North Chesterfield, VA 23234
Phone (804) 621-4228

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1528504172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 IRONGATE SQ STE A&B",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346077",
            "telephone_number": "804-621-4228",
            "fax_number": "804-621-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 HOLLYLEAF CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232342831",
            "telephone_number": "804-245-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWLEY",
        "first_name": "DETRINA",
        "middle_name": "EVETTE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9958",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17471",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "717760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.