Individual provider Active NPI

Elizabeth Marie Crawford, MA COUNSELING

  • Marriage & Family Therapist
  • Ukiah, CA
National Provider Identifier
1669808713
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125828 Issued in CA
Practice address
216 W Perkins St Ste 107
Ukiah, CA 95482-4858
Phone
(707) 272-1011
Fax
(707) 900-8192
NPI assigned
Sep 20, 2013
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 125828 CA Primary
Marriage & Family Therapist 106H00000X AMFT89147 CA

Addresses

Primary practice location

216 W Perkins St Ste 107
Ukiah, CA 95482-4858

Mailing address

416 Oak Park Ave
Ukiah, CA 95482-5325
Phone (707) 634-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826002590 CA Practitioner - Marriage and Family Therapist 1759820426 Practice locations: Arroyo Grande, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
125828CAMDMarriage & Family Therapist
AMFT89147CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1669808713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 OAK PARK AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825325",
            "telephone_number": "707-634-3300",
            "fax_number": "707-900-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W PERKINS ST STE 107",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824858",
            "telephone_number": "707-272-1011",
            "fax_number": "707-900-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "MA COUNSELING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125828",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT89147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.