NPIMap

Organization Active NPI

Crowley's Ridge Development Council, Inc.

  • Driver
  • Jonesboro, AR
National Provider Identifier
1891532768
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Legal business name
CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.
Practice address
2401 Fox Meadow LN
Jonesboro, AR 72404-7664
Phone
(870) 802-7100
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Jeremy Wooldridge, LCSW
Title
Ceo
Phone
(870) 802-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 172A00000X Primary

Addresses

Primary practice location

2401 Fox Meadow LN
Jonesboro, AR 72404-7664

Mailing address

PO Box 16720
Jonesboro, AR 72403-6711
Phone (870) 802-7100

National Provider Directory

National Provider Directory
Tax ID family
Crowley's Ridge Development3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2401 Fox Meadow Ln
Jonesboro, AR 72404
Phone (870) 802-7100

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1891532768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16720",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036711",
            "telephone_number": "870-802-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FOX MEADOW LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047664",
            "telephone_number": "870-802-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "WOOLDRIDGE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-802-7100",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.