Individual provider Active NPI

Eleanor Catherine Crawford, MFT INTERN

  • Marriage & Family Therapist
  • Nevada City, CA
National Provider Identifier
1881706216
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
81805 Issued in CA
Practice address
101 Providence Mine Rd
106C
Nevada City, CA 95959-2939
Phone
(530) 559-8902
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 81805 CA Primary

Addresses

Primary practice location

101 Providence Mine Rd
106C
Nevada City, CA 95959-2939

Mailing address

101 Providence Mine Rd
Suite 106C
Nevada City, CA 95959-2939
Phone (530) 559-8902

Other identifiers 1

IdentifierTypeStateIssuer
51239OtherCAMFTI LICENSE

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

LicenseStateTypeSpecialty
81805CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1881706216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROVIDENCE MINE RD",
            "address_2": "SUITE 106C",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592939",
            "telephone_number": "530-559-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROVIDENCE MINE RD",
            "address_2": "106C",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592939",
            "telephone_number": "530-559-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ELEANOR",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFTI LICENSE",
            "identifier": "51239",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.