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

Organization subpart

No

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

Authorized official

Name

John Crossfield, LMHC

Title

President

Phone

(904) 853-5900

Specialties & licenses 1

Addresses

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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• 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.