Beth Crawford Mich, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701003623 Issued in VA

Practice address

12629 Builders Rd
Herndon, VA 20170-2924

Phone

(703) 591-2551

Fax

(703) 591-2563

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1720114796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12629 BUILDERS RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702924",
            "telephone_number": "571-278-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12629 BUILDERS RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702924",
            "telephone_number": "703-591-2551",
            "fax_number": "703-591-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICH",
        "first_name": "BETH",
        "middle_name": "CRAWFORD",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Herndon, VA
• Providers in Herndon, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.