Active NPI
Michelle R Crumbly
- Professional Counselor
- Auburn, AL
National Provider Identifier
1548456445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2814
- Practice address
- 923 Stage Rd
Suite M
Auburn, AL 36830-5109 - Phone
- (334) 887-2001
- Fax
- (334) 887-2009
- NPI assigned
- Sep 25, 2007
- 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 | LPC 1171 | MS | |
| Professional Counselor | 101YP2500X | 2814 | AL | Primary |
Addresses
Primary practice location
923 Stage Rd
Suite M
Auburn, AL 36830-5109
Mailing address
923 Stage Rd
Suite M
Auburn, AL 36830-5109
Phone (334) 887-2001
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 |
|---|---|---|---|
| LPC 1171 | MS | MD | Professional Counselor |
| 2814 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1548456445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 STAGE RD",
"address_2": "SUITE M",
"city": "AUBURN",
"state": "AL",
"postal_code": "368305109",
"telephone_number": "334-887-2001",
"fax_number": "334-887-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 STAGE RD",
"address_2": "SUITE M",
"city": "AUBURN",
"state": "AL",
"postal_code": "368305109",
"telephone_number": "334-887-2001",
"fax_number": "334-887-2009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMBLY",
"first_name": "MICHELLE",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "LPC 1171",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.