Active NPI
David L Crenshaw LMFT Lcas PLLC
- Marriage & Family Therapist
- Wilmington, NC
National Provider Identifier
1851750889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 525
- Legal business name
- DAVID L CRENSHAW LMFT LCAS PLLC
- Practice address
- 1606 Wellington Ave Ste H
Wilmington, NC 28401-7704 - Phone
- (910) 793-6144
- Fax
- (910) 793-6140
- NPI assigned
- Feb 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David L Crenshaw, LMFT
- Title
- Owner
- Phone
- (910) 827-2445
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 525 | NC | Primary |
Addresses
Primary practice location
1606 Wellington Ave Ste H
Wilmington, NC 28401-7704
Mailing address
4008 Halliburton CV
Leland, NC 28451-3502
Phone (910) 827-2445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1606 Wellington Ave
Ste H
Wilmington, NC 28401
Phone (910) 793-6144
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Wilmington, NC
- NPI 1396871976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455753600000",
"number": "1851750889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 HALLIBURTON CV",
"city": "LELAND",
"state": "NC",
"postal_code": "284513502",
"telephone_number": "910-827-2445",
"fax_number": "910-793-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 WELLINGTON AVE STE H",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017704",
"telephone_number": "910-793-6144",
"fax_number": "910-793-6140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID L CRENSHAW LMFT LCAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2016-02-18",
"status": "A",
"authorized_official_last_name": "CRENSHAW",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-827-2445",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.