John Richard Crossfield, LMHC, Mac, PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH4466 Issued in FL

Legal business name

JOHN RICHARD CROSSFIELD, LMHC, MAC, PA

Practice address

1909 Beach Blvd Ste 201
Jacksonville Beach, FL 32250-2643

Phone

(904) 853-5900

Fax

(904) 853-5885

NPI assigned

Mar 30, 2015

Last updated

Mar 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Crossfield, LMHCNPI 1043293111

Title

President

Phone

(904) 853-5900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Richard Crossfield, LHMC

  • Mental Health Counselor
  • Jacksonville Beach, FL
  • NPI 1043293111
  Authorized official Same address or phone

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1629463526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD STE 201",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502643",
            "telephone_number": "904-853-5900",
            "fax_number": "904-853-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD STE 201",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502643",
            "telephone_number": "904-853-5900",
            "fax_number": "904-853-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN RICHARD CROSSFIELD, LMHC, MAC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "CROSSFIELD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-853-5900",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.