Individual provider Active NPI

Richard Dee Crawford, LPC,LMFT,NCC

  • Marriage & Family Therapist
  • Grove, OK
National Provider Identifier
1578894168
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
596 Issued in OK
Practice address
905 E 3Rd St
Grove, OK 74344-7949
Phone
(918) 787-2104
Fax
(918) 787-2106
NPI assigned
Jan 20, 2010
Last updated
Jan 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 451 OK
Marriage & Family Therapist 106H00000X 596 OK Primary

Addresses

Primary practice location

905 E 3Rd St
Grove, OK 74344-7949

Mailing address

905 E 3Rd St
Grove, OK 74344-7949
Phone (918) 787-2104

Other identifiers 1

IdentifierTypeStateIssuer
731013488MedicaidOK

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
596OKMDMarriage & Family Therapist
451OKMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1578894168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E 3RD ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447949",
            "telephone_number": "918-787-2104",
            "fax_number": "918-787-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E 3RD ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447949",
            "telephone_number": "918-787-2104",
            "fax_number": "918-787-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "RICHARD",
        "middle_name": "DEE",
        "credential": "LPC,LMFT,NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "451",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731013488",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.