NPIMap

Bernadine O. Crawford, L.P.C.C.

Individual provider Active NPI Mental Health Counselor · Anthony, NM

NPI 1861722308 · NPPES record last updated Jan 6, 2010

Key facts

NPI
1861722308
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
4079 (NM)
Practice address
880 Anthony Dr
Suite 3B
Anthony, NM 88021-9346
Phone
(575) 882-5290
Fax
(575) 882-1879
NPI assigned
Jan 6, 2010
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4079NMMDMental Health Counselor
285834NMMDSchool Counselor
11860TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Mediation Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4079 NM Yes
Mental Health Counselor 101YM0800X 11860 TX
School Counselor 101YS0200X 285834 NM

Addresses

Primary practice location

880 Anthony Dr
Suite 3B
Anthony, NM 88021-9346

Mailing address

3120 Dyer St
Las Cruces, NM 88011-4802
Phone (575) 532-9628

Other providers in Anthony, NM

All providers in Anthony, NM · Mental Health Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.