Jenna Crawford

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T2396 Issued in OR

Practice address

257 SW Madison Ave Ste 222
Corvallis, OR 97333-4757

Phone

(503) 877-2156

NPI assigned

Mar 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jasper Mountain

  • Mental Illness Community Based Residential Treatment Facility
  • Jasper, OR
  • NPI 1497821680
  NPD (past)
• Jasper Mountain

  • Adolescent and Children Mental Health Clinic/Center
  • Jasper, OR
  • NPI 1891462784
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1982145082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 SW MADISON AVE STE 222",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334757",
            "telephone_number": "541-510-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 SW MADISON AVE STE 222",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334757",
            "telephone_number": "503-877-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2024-02-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaycie Rebecca Crane
• Triana Renee Crane
• Kalie McKenzie Crangle
• Dena Patricia Crawford
• Jeffrey David Crawford, M.D.
• Hana Creel
• Rachel Nicole Creel
• Amy Ruth Crevola, LCSW
• Jessica Louise Crew, RDH
• Casey Noel Corson Crichton

• Marriage & Family Therapist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.