Individual provider Active NPI

Anne Elizabeth Crunk, PHD, NCC, LGPC

  • Professional Counselor
  • Bethesda, MD
National Provider Identifier
1609343375
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP17381 Issued in MD
Practice address
5652 Shields Dr
Bethesda, MD 20817-3574
Phone
(301) 202-4677
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP17381 MD Primary

Addresses

Primary practice location

5652 Shields Dr
Bethesda, MD 20817-3574

Mailing address

5652 Shields Dr
Bethesda, MD 20817-3574
Phone (301) 202-4677

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LGP17381MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neurodivergence and Trauma Counseling and Consultation LLC CurrentSince Dec 21, 2025 Accepting new patients

Locations

5652 Shields Dr
Bethesda, MD 20817
Phone (240) 225-0522

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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1609343375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5652 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173574",
            "telephone_number": "301-202-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5652 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173574",
            "telephone_number": "301-202-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUNK",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD, NCC, LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP17381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.