Nicole Christopher Crump, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701007698 Issued in VA

Practice address

422 Elm Ave SW
Roanoke, VA 24016-3920

Phone

(804) 986-6298

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Richmond Creative Counseling, LLC

  • Professional Counselor
  • Richmond, VA
  • NPI 1689016735
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1891289583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163920",
            "telephone_number": "804-986-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163920",
            "telephone_number": "804-986-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "NICOLE",
        "middle_name": "CHRISTOPHER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Wayne Crowder, P.A.
• Johnny Lee Crowe Jr., RBT
• Linda M Crowley, SLP
• Jenna Nicole Crozier
• Alexandra Lauren Crumbacher, PT, DPT
• Cheryl Ann Crush
• Crystal'S Healing Hands Massage, LLC
• Cspring LLC
• Laura Cuadrado
• Bonnie Culkin, M.D.

• Mental Health Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.