David Crawford, LPC

Key facts

NPI

1629624101

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

LPC-7394 (ID)

Practice address

7950 Horseshoe Bend Rd Ste 104
Boise, ID 83714-3809

Phone

(208) 899-9589

NPI assigned

Aug 12, 2019

Sex

Male

Sole proprietor

No

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.

• Completeness Counseling Mental Health Clinic/Center (Including Community Mental Health Center) · Boise, ID · NPI 1093302507
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 30, 2020.

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1629624101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N CANYON ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836512271",
            "telephone_number": "208-899-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 HORSESHOE BEND RD STE 104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837143809",
            "telephone_number": "208-899-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2176 E Franklin Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836428009",
            "country_code": "US",
            "telephone_number": "208-899-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

• Mikael B Crapo, CRNA
• Heather D Craven, OTR/L
• Spencer John Craven, M.D.
• Gregory Forest Cravens, R.PH
• Amber Richele Crawford, COTA/L
• Jacob Steven Crawford, DPT, OCS
• Lindsay Dawn Crawford, PHARM.D.
• Rachael Ann Crawford, ATC
• Robert G Crawford, CST, CFA
• Russell D Crawford, DO

All providers in Boise, ID · Professional Counselor in Idaho