Edward R Crum, LICDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

131007 Issued in OH

Practice address

2317 E Home Rd
Springfield, OH 45503-2520

Phone

(937) 342-4379

NPI assigned

Nov 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1629313887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032520",
            "telephone_number": "937-342-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032520",
            "telephone_number": "937-342-4379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 N Vandemark Rd",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453653567",
            "country_code": "US",
            "telephone_number": "937-492-8080 x301",
            "fax_number": "937-492-6971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUM",
        "first_name": "EDWARD",
        "middle_name": "R",
        "credential": "LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "131007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0370792",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Crosbie
• Marilyn Rivkin Crossley
• Robyn Lejean Crossley
• Robyn Crouch, CDCA
• Vanessa Crowe-Porter
• Crystal Clear Imaging, LLC
• Linda Sue Culler
• Joseph Daniel Culp, OD
• Rita A Culwell
• Cumberland Medical Supply

• Addiction (Substance Use Disorder) Counselor in Springfield, OH
• Providers in Springfield, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; 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.