Active NPI
Jason Crawford, OTR/L
- Mental Health Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1831766153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- License
- OT-3193
- Practice address
- 6161 W Charleston Blvd
Las Vegas, NV 89146-1126 - Phone
- (415) 602-8334
- NPI assigned
- Jun 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | 18704 | CA | |
| Mental Health Occupational Therapist | 225XM0800X | OT-3193 | NV | Primary |
Addresses
Primary practice location
6161 W Charleston Blvd
Las Vegas, NV 89146-1126
Mailing address
3451 Desert Cliff St Unit 104
Las Vegas, NV 89129-8619
Phone (415) 602-8834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18704 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Nevada | Current | Accepting new patients | |
| State of Nevada | Current | Accepting new patients | |
| Southern Nevada Adult Mental Health | Current | Accepting new patients |
Locations
4150 Technology Way
Ste 100
Carson City, NV 89706
1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420
6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ely, NV
- NPI 1760572010
-
- Adult Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1891756920
-
- Skilled Nursing Facility
- Boulder City, NV
- NPI 1083612741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1831766153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 DESERT CLIFF ST UNIT 104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891298619",
"telephone_number": "415-602-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461126",
"telephone_number": "415-602-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JASON",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-06",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "CA",
"license": "18704",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "NV",
"license": "OT-3193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.