Angeline Rainey Crawford, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12290 Issued in FL

Practice address

501 Centre St Ste 117
Fernandina Beach, FL 32034-3936

Phone

(904) 557-5288

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Crawford Counseling and Wellness

  • Mental Health Counselor
  • Fernandina Beach, FL
  • NPI 1811624281
  NPD Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1841222692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N 19TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342544",
            "telephone_number": "904-557-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CENTRE ST STE 117",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343936",
            "telephone_number": "904-557-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ANGELINE",
        "middle_name": "RAINEY",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Counseling Center, Inc.
• Debra Marie Cotner, PTA
• Laura Cotton
• Elizabeth Marie Cranford, DPT
• Crawford Counseling and Wellness
• Cristina Gillis
• Jennifer Susong Crowder, MS, OTR
• Mia Angelique Cruz, DPT
• Julie Cuason, LCSW
• David Joel Cummings, PT, DPT

• Mental Health Counselor in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.