Amy Crumpton, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A0902025 Issued in AR

Practice address

3504 SE Riveria Road
Bentonville, AR 72712

Phone

(479) 366-8005

NPI assigned

Mar 26, 2020

Last updated

Mar 26, 2020By the provider in NPPES

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

Electronic endpoints 1

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1942837059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11782 PUNKIN HOLLOW RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 SE RIVERIA ROAD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-366-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMPTON",
        "first_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A0902025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BENTONVILLE",
            "affiliation": "N",
            "address_1": "3504 SE Riveria Road",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annika Page Criner
• Shelia Cripps, COTA/L
• Brecken Criswell
• Stephanie Cross, MHPP
• Jacob Crumpler, DC
• Ronald Andrew Crupper, CP-P
• Melissa Cullen, RDN, LD
• Justin Paul Cummings, PHARMD
• Cheri Caroline Cunningham, M.D
• Michele Cunningham, TEACHER/MHPP

• Mental Health Counselor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.