Mary Clare Crocker, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0017108 Issued in CO

Practice address

5277 Manhattan Cir Ste 250
Boulder, CO 80303-8212

Phone

(303) 746-7844

NPI assigned

Jun 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1629646609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 W CHAFFEE PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111542",
            "telephone_number": "469-560-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 MANHATTAN CIR STE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803038212",
            "telephone_number": "303-746-7844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Abrams Rd",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750815578",
            "country_code": "US",
            "telephone_number": "972-638-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "MARY",
        "middle_name": "CLARE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82375",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0017108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Marie Cribbs, RN
• Jessica Crider, PTA
• Michael D. Crisp, OTR/L
• Whitney Crisp
• Lisa Ann Croce, RN
• Claire O Cronin, MA,LPC,NCC
• Mary Elizabeth Crook, RN
• Savannah Kristin Crookston
• Carol Cropp, MSPT
• Tamara Crosbie

• Professional Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.