NPIMap

Organization Active NPI

Crescent Counseling & Casework Services Inc.

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
National Provider Identifier
1790095081
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1476 Issued in VA
Legal business name
CRESCENT COUNSELING & CASEWORK SERVICES INC.
Practice address
708 S Rosemont Rd
Suite 203
Virginia Beach, VA 23452-4061
Phone
(757) 431-0105
Fax
(757) 431-0106
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Rodney Thomas Malone, PH.D.
Title
President/Ceo
Phone
(757) 431-0105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1476 VA Primary

Addresses

Primary practice location

708 S Rosemont Rd
Suite 203
Virginia Beach, VA 23452-4061

Mailing address

708 S Rosemont Rd
Suite 203
Virginia Beach, VA 23452-4061
Phone (757) 431-0105

Other identifiers 1

IdentifierTypeStateIssuer
1476OtherVADBHDS LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1790095081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S ROSEMONT RD",
            "address_2": "SUITE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524061",
            "telephone_number": "757-431-0105",
            "fax_number": "757-431-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S ROSEMONT RD",
            "address_2": "SUITE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524061",
            "telephone_number": "757-431-0105",
            "fax_number": "757-431-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT COUNSELING & CASEWORK SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "757-431-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHDS LICENSE",
            "identifier": "1476",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.