Individual provider Active NPI

Dawn Crump, L.P.C.

  • Professional Counselor
  • Rock Hill, SC
National Provider Identifier
1710059654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4167 Issued in SC
Practice address
1156 Ebenezer Rd
Rock Hill, SC 29732-0510
Phone
(803) 327-4357
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4167 SC Primary

Addresses

Primary practice location

1156 Ebenezer Rd
Rock Hill, SC 29732-0510

Mailing address

P O Box 36624
Rock Hill, SC 29732-0510
Phone (803) 327-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240919003465 SC Practitioner - Mental Health Counselor 8820539612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4167SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Family Services CurrentSince Sep 6, 2024 Accepting new patients
Advance Behavioral Medicine. LLC Past Accepting new patients
Real Connections Counseling and Wellness LLC Professional Past Accepting new patients

Locations

508 Bethel St
Clover, SC 29710
Phone (803) 526-5227

Organizations & group practices 3

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710059654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 36624",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320510",
            "telephone_number": "803-327-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320510",
            "telephone_number": "803-327-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.