Active NPI
Jennifer Leigh Crow, MA, LPCA, LCASA
- Addiction (Substance Use Disorder) Counselor
- Statesville, NC
National Provider Identifier
1841849601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 536 Signal Hill Drive Ext
Statesville, NC 28625-4391 - Phone
- (704) 872-0234
- NPI assigned
- Sep 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
536 Signal Hill Drive Ext
Statesville, NC 28625-4391
Mailing address
2690 Glenn St
Newton, NC 28658-8716
Phone (828) 310-4247
Other practice location 1
31 E Main Ave
Taylorsville, NC 28681-2540
Phone (704) 872-0234 ext. 406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4983 Taylorsville Hwy
Stony Point, NC 28678
4983 Taylorsville Hwy
Stony Point, NC 28678-9051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Stony Point, NC
- NPI 1578234506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1841849601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 GLENN ST",
"city": "NEWTON",
"state": "NC",
"postal_code": "286588716",
"telephone_number": "828-310-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 SIGNAL HILL DRIVE EXT",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254391",
"telephone_number": "704-872-0234"
}
],
"practiceLocations": [
{
"address_1": "31 E Main Ave",
"address_purpose": "LOCATION",
"city": "Taylorsville",
"state": "NC",
"postal_code": "286812540",
"country_code": "US",
"telephone_number": "704-872-0234 x406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROW",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"credential": "MA, LPCA, LCASA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
- Crossroads Home Health, Inc.
- Crossroads Speech Therapy, PLLC
- Desiree' Benfield Crosswhite, BSW, MS, LCSW
- Keith Allen Crouch, DDS
- Timothy Crouch, DMD
- Crummett Associates, PA (Elaine Crummett, LPA, LPC)
- Elaine Sharon Crummett, L.P.A., L.P.C.
- Crush It Athletics and Physical Therapy
- Tao Cui, MD
- Amiya Cunningham, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.