Kaitlyn Crosby, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1910127 Issued in AR

Practice address

2812 Dalewood Rd
Little Rock, AR 72207-2614

Phone

(501) 749-4990

Fax

(501) 660-6830

NPI assigned

Jun 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kailtyn Bodenner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1932559671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 DALEWOOD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722072614",
            "telephone_number": "501-749-4990",
            "fax_number": "501-749-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 DALEWOOD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722072614",
            "telephone_number": "501-749-4990",
            "fax_number": "501-660-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "KAITLYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1910127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILTYN",
            "last_name": "BODENNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Kay Crone, LCSW
• Nicole Crone, MHPP
• Kristie N Cronkhite, ANP
• Teretha Crook
• Darlene Crosby, MHPP
• Lawell Crosby
• Brendan Croskerry, MD
• James Grady Crosland, M.D.
• Cross City Transportation
• Cross River Therapy Ar

• Professional Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.