Individual provider Active NPI

Warner Antonio Richards Crawford, PSYD, LMHC

  • Mental Health Counselor
  • Baldwin, NY
National Provider Identifier
1912724733
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015124 Issued in NY
Practice address
3255 Bertha Dr
Baldwin, NY 11510-5002
Phone
(516) 382-5651
NPI assigned
Sep 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 015124 NY Primary

Addresses

Primary practice location

3255 Bertha Dr
Baldwin, NY 11510-5002

Mailing address

3255 Bertha Dr
Baldwin, NY 11510-5002
Phone (516) 382-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327001443 NY Practitioner - Mental Health Counselor 3870078850

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17324 Autumn Falls Dr
Manor, TX 78653-2725

56 Cedar Ave
Farmingdale, NY 11735-3804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015124NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1912724733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 BERTHA DR",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105002",
            "telephone_number": "516-382-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 BERTHA DR",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105002",
            "telephone_number": "516-382-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS CRAWFORD",
        "first_name": "WARNER",
        "middle_name": "ANTONIO",
        "credential": "PSYD, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.