Individual provider Active NPI

David Crawford, LPC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1629624101
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-7394 Issued in ID
Practice address
7950 Horseshoe Bend Rd Ste 104
Boise, ID 83714-3809
Phone
(208) 899-9589
NPI assigned
Aug 12, 2019
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 LPC-7394 ID Primary

Addresses

Primary practice location

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

Mailing address

14 N Canyon St
Nampa, ID 83651-2271
Phone (208) 899-9589

Other practice location 1

2176 E Franklin Rd Ste 100
Meridian, ID 83642-8009
Phone (208) 899-9589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-7394IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Completeness Counseling CurrentSince Jan 3, 2021 Accepting new patients

Locations

7950 N Horseshoe Bend Rd
Ste 104
Boise, ID 83714
Phone (208) 515-7661

2176 E Franklin Rd
#100
Meridian, ID 83642
Phone (208) 288-1155

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.