Jared Crouse Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-16956 Issued in AZ

Legal business name

JARED CROUSE COUNSELING PLLC

Practice address

1760 E Boston St Ste 102R3
Gilbert, AZ 85295-6240

Phone

(480) 300-1926

NPI assigned

Jan 11, 2018

Organization subpart

No

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

Authorized official

Name

Jared Crouse, MC

Title

Member

Phone

(480) 300-1926

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1649788670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E BOSTON ST STE 102R3",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E BOSTON ST STE 102R3",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956240",
            "telephone_number": "480-300-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED CROUSE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-300-1926",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-16956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.