Active NPI
Nesbit Crutchfield
- Professional Counselor
- Oakland, CA
National Provider Identifier
1881740231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 101YP2500X
- Practice address
- 280 17TH St
Oakland, CA 94612-4124 - Phone
- (510) 238-5020
- Fax
- (510) 261-3584
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 101YP2500X | CA | Primary |
Addresses
Primary practice location
280 17TH St
Oakland, CA 94612-4124
Mailing address
100 Eddy St Apt 4
Point Richmond, CA 94801-3886
Phone (510) 704-1347
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 |
|---|---|---|---|
| 101YP2500X | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881740231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EDDY ST APT 4",
"city": "POINT RICHMOND",
"state": "CA",
"postal_code": "948013886",
"telephone_number": "510-704-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 17TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946124124",
"telephone_number": "510-238-5020",
"fax_number": "510-261-3584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTCHFIELD",
"first_name": "NESBIT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "101YP2500X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.