Organization Active NPI

Crayton Counseling and Consulting LLC

  • Community/Behavioral Health Agency
  • Bastrop, LA
National Provider Identifier
1962061267
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CRAYTON COUNSELING AND CONSULTING LLC
Practice address
2025 Antares Dr
Bastrop, LA 71220-3452
Phone
(318) 351-4120
NPI assigned
Jun 10, 2019
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Suzette Gutter, DSW, LCSW
Title
Owner/Provider
Phone
(318) 351-4120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2025 Antares Dr
Bastrop, LA 71220-3452

Mailing address

2025 Antares Dr
Bastrop, LA 71220-3452
Phone (318) 351-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723001317 LA Part B Supplier - Clinic/Group Practice 5597091967 Receives reassigned benefits from 1 practitioner
Practice locations: Bastrop, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1962061267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 ANTARES DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203452",
            "telephone_number": "318-351-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 ANTARES DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203452",
            "telephone_number": "318-351-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAYTON COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "GUTTER",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "318-351-4120",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.