Individual provider Active NPI

Shawn Michael Crawford, M.A., L.P.C.C.

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1629066865
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0180181 Issued in NM
Practice address
6000 Uptown Blvd NE
Albuquerque, NM 87110-4162
Phone
(505) 237-4093
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 0180181 NM Primary

Addresses

Primary practice location

6000 Uptown Blvd NE
Albuquerque, NM 87110-4162

Mailing address

1360 Acapulco Rd NE
Rio Rancho, NM 87144-6449
Phone (970) 371-8683

Other practice location 1

928 12th St
Greeley, CO 80631-4024
Phone (970) 352-1056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240314004292 NM Practitioner - Mental Health Counselor 2163677204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 Broadmoor Blvd NE
Suite D
Rio Rancho, NM 87124-3442
Phone (505) 431-5058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0180181NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ravenwater Counseling LLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

750 Broadmoor Blvd NE
Ste D
Rio Rancho, NM 87124
Phone (505) 431-5058

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629066865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 ACAPULCO RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871446449",
            "telephone_number": "970-371-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 UPTOWN BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104162",
            "telephone_number": "505-237-4093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 12th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806314024",
            "country_code": "US",
            "telephone_number": "970-352-1056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.A., L.P.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0180181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.