Active NPI
Yvonne Crewse, LPC
- Professional Counselor
- Ajo, AZ
National Provider Identifier
1801074869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC12851
- Practice address
- 410 N Malacate St
Ajo, AZ 85321-2254 - Phone
- (520) 387-5651
- NPI assigned
- Feb 1, 2008
- Last updated
- Feb 22, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC12851 | AZ | Primary |
Addresses
Primary practice location
410 N Malacate St
Ajo, AZ 85321-2254
Mailing address
410 Malacate
Ajo, AZ 85321
Phone (520) 387-5651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC12851 | Other | AZ | LPC |
Other names 1
- Ms. Yvonne Spokerman
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC12851 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1801074869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 MALACATE",
"city": "AJO",
"state": "AZ",
"postal_code": "85321",
"telephone_number": "520-387-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N MALACATE ST",
"city": "AJO",
"state": "AZ",
"postal_code": "853212254",
"telephone_number": "520-387-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREWSE",
"first_name": "YVONNE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC12851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "LPC12851",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YVONNE",
"last_name": "SPOKERMAN",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ajo, AZ
- Ali a Askari, PC
- Katiria M Alvarez, RD
- Julie Lynn Anderson, ARNP
- Daniel Bray, O.D.
- Walter R Cayce, MD, MPH
- Desert Senita Community Health Center
- Desert Senita Community Health Center (Desert Senita Pharmacy)
- Desert Senita Community Health Center (Desert Senita Dental Center)
- Kauri Duvall
- Susan Guinn-Lahm, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.