Active NPI
James Crawford, ICS
- Addiction (Substance Use Disorder) Counselor
- Madison, WI
National Provider Identifier
1700129376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14524-132
- Practice address
- 4222 Milwaukee St Ste 2
Madison, WI 53714-3534 - Phone
- (608) 467-9134
- Fax
- (608) 467-9135
- NPI assigned
- Apr 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14524-132 | WI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15371-135 | WI |
Addresses
Primary practice location
4222 Milwaukee St Ste 2
Madison, WI 53714-3534
Mailing address
1213 N Sherman Ave # 323
Madison, WI 53704-4236
Phone (608) 445-4886
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14524-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 15371-135 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessie Crawford Recovery Center, Inc. | Current | Accepting new patients | |
| Jessie Crawford Recovery Center | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
1213 N Sherman Ave
Madison, WI 53704
Phone (617) 626-9592
4222 Milwaukee St
Ste 2
Madison, WI 53714
Phone (608) 467-9134
131 Clarmar Dr
Sun Prairie, WI 53590
Phone (608) 318-0932
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Sun Prairie, WI
- NPI 1538988381
-
- Addiction (Substance Use Disorder) Counselor
- Sun Prairie, WI
- NPI 1124372586
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1700129376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 N SHERMAN AVE # 323",
"city": "MADISON",
"state": "WI",
"postal_code": "537044236",
"telephone_number": "608-445-4886",
"fax_number": "608-467-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 MILWAUKEE ST STE 2",
"city": "MADISON",
"state": "WI",
"postal_code": "537143534",
"telephone_number": "608-467-9134",
"fax_number": "608-467-9135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "ICS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-02",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "14524-132",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15371-135",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.