Individual provider Active NPI

James Crawford, ICS

  • Addiction (Substance Use Disorder) Counselor
  • Madison, WI
National Provider Identifier
1700129376
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14524-132 Issued in WI
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

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14524-132WIMDAddiction (Substance Use Disorder) Counselor
15371-135WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.