Active NPI
Stephanie A Crockett, LGPC
- Mental Health Counselor
- Cheverly, MD
National Provider Identifier
1881401362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC18062
- Practice address
- 2510 Crest Ave
Cheverly, MD 20785-2930 - Phone
- (202) 497-5890
- NPI assigned
- Dec 17, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC18062 | MD | Primary |
Addresses
Primary practice location
2510 Crest Ave
Cheverly, MD 20785-2930
Mailing address
2510 Crest Ave
Cheverly, MD 20785-2930
Phone (202) 497-5890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP6349 | MD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C.H.O.I.C.E.S. International | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Upper Marlboro, MD
- NPI 1659885457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784332800000",
"number": "1881401362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 CREST AVE",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207852930",
"telephone_number": "202-497-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 CREST AVE",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207852930",
"telephone_number": "202-497-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKETT",
"first_name": "STEPHANIE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2026-07-18",
"certification_date": "2026-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC18062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
- Fatu Alpha Conteh, LCSW-C
- Crawford Consulting and Mental Health Services, Inc.
- Crawford Consulting and Mental Health Services, Inc.
- Demarest Crawl, DSW, LCSW-C, LICSW
- Jeffery Crayton
- Breslyn Crosby
- Pamela Denise Cunningham
- Thelma Cunningham, CRNA
- Joshlyn Davenport, CRNP
- Davmos Healthcare Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.