Active NPI
Crystal Ford, MA
- Counselor
- Bowie, MD
National Provider Identifier
1760890008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2905 Mitchellville Rd
201
Bowie, MD 20716-1385 - Phone
- (703) 859-1709
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MD | Primary |
Addresses
Primary practice location
2905 Mitchellville Rd
201
Bowie, MD 20716-1385
Mailing address
2905 Mitchellville Rd
201
Bowie, MD 20716-1385
Phone (703) 859-1709
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutions Life Coaching Services LLC | Current | Accepting new patients |
Locations
2905 Mitchellville Rd
Ste 201
Bowie, MD 20716
Phone (443) 758-0333
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Bowie, MD
- NPI 1417341017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1760890008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 MITCHELLVILLE RD",
"address_2": "201",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161385",
"telephone_number": "703-859-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 MITCHELLVILLE RD",
"address_2": "201",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161385",
"telephone_number": "703-859-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "CRYSTAL",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.