Individual provider Active NPI

Emily B Crawford-Thompson, PHD, LP

  • Professional Counselor
  • Columbia, MO
National Provider Identifier
1902036247
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2008034836 Issued in MO
Practice address
3401 Berrywood Dr Ste 203
Columbia, MO 65201-6515
Phone
(573) 777-8330
NPI assigned
Jul 21, 2009
Last updated
Jun 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2008034836 MO Primary

Addresses

Primary practice location

3401 Berrywood Dr Ste 203
Columbia, MO 65201-6515

Mailing address

1900 N Providence Rd Ste 327
Columbia, MO 65202-3710
Phone (573) 818-7010

Other practice location 1

1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 269-5400

Other identifiers 1

IdentifierTypeStateIssuer
494512601MedicaidMO

Other names 1

  • Emily Crawford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 9, 2020 through Jun 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Psychology Healing Center LLC CurrentSince Jun 7, 2020 Accepting new patients

Locations

1900 N Providence Rd
Ste 327
Columbia, MO 65202
Phone (573) 206-9029

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1902036247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N PROVIDENCE RD STE 327",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023710",
            "telephone_number": "573-818-7010",
            "fax_number": "573-818-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BERRYWOOD DR STE 203",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016515",
            "telephone_number": "573-777-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E Bradford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044264",
            "country_code": "US",
            "telephone_number": "417-269-5400",
            "fax_number": "417-269-7212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD-THOMPSON",
        "first_name": "EMILY",
        "middle_name": "B",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008034836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494512601",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "CRAWFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.