Organization Active NPI

Karen Taylor Crawford and Associates

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1598024200
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
036056639 Issued in IL
Legal business name
KAREN TAYLOR CRAWFORD AND ASSOCIATES
Practice address
301 E. 47TH Street
Chicago, IL 60653-3656
Phone
(773) 844-0228
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Mr. Theodore J Crawford
Title
Manager
Phone
(312) 388-4967

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Community/Behavioral Health Agency 251S00000X 036056639 IL Primary

Addresses

Primary practice location

301 E. 47TH Street
Chicago, IL 60653-3656

Mailing address

9745 S Vanderpoel Ave
Chicago, IL 60643-1231
Phone (773) 203-6156

Other identifiers 1

IdentifierTypeStateIssuer
036056639MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Karen Taylor Crawford and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 E 47th St
Chicago, IL 60653
Phone (773) 844-0228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1598024200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 S VANDERPOEL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431231",
            "telephone_number": "773-203-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E. 47TH STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533656",
            "telephone_number": "773-844-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN TAYLOR CRAWFORD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-388-4967",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "036056639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056639",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.