Active NPI
Mark E. Crosby, LPC
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1952505604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2611
- Practice address
- 11914 Justice Ave
Baton Rouge, LA 70816-2372 - Phone
- (225) 936-2607
- Fax
- (225) 664-0703
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2611 | LA | Primary |
Addresses
Primary practice location
11914 Justice Ave
Baton Rouge, LA 70816-2372
Mailing address
7408 Calvin Underwood LN
Denham Springs, LA 70706-0601
Phone (225) 936-2607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952505604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7408 CALVIN UNDERWOOD LN",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707060601",
"telephone_number": "225-936-2607",
"fax_number": "225-664-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11914 JUSTICE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708162372",
"telephone_number": "225-936-2607",
"fax_number": "225-664-0703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "MARK",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.