Terry Wayne Crawford, CPS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

12418 Issued in WI

Practice address

2801 International LN Ste 205
Madison, WI 53704-3152

Phone

(608) 241-4285

Fax

(608) 241-4286

NPI assigned

Aug 24, 2021

Last updated

Feb 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708732800000",
    "number": "1689341018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 INTERNATIONAL LN STE 205",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043152",
            "telephone_number": "608-241-4285",
            "fax_number": "608-241-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 INTERNATIONAL LN STE 205",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043152",
            "telephone_number": "608-241-4285",
            "fax_number": "608-241-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "TERRY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "CPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WI",
            "license": "12418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700129376",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Crawford, ICS
• Krista Patricia Crawford, P.A.
• Megan Elizabeth Crawford
• Patricia Ann Crawford, CPS
• Richard Kevin Crawford, M.D.
• Ryan Craynon
• Shane Anton Creado, M.D.
• Creating Space, LLC
• Creative Care for Afh LLC
• Creative Forces Therapy

• Peer Specialist in Madison, WI
• Providers in Madison, WI by specialty
• Peer Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; 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.