Active NPI
Joanna Mann Crockett, LPC
- Professional Counselor
- Evans, GA
National Provider Identifier
1982265294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007932
- Practice address
- 1202 Town Park LN Ste 300
Evans, GA 30809-3477 - Phone
- (706) 210-8855
- Fax
- (706) 432-8775
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
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 | LPC007932 | GA | Primary |
Addresses
Primary practice location
1202 Town Park LN Ste 300
Evans, GA 30809-3477
Mailing address
1202 Town Park LN Ste 300
Evans, GA 30809-3477
Phone (706) 210-8855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213002840 | GA | Practitioner - Mental Health Counselor | 9335582717 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC007932 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolution Counseling Professionals | Professional | Past | Accepting new patients |
Interoperability endpoints
- georgiabehavioralhealthprofessionals.joannacrockett@124220.advancedmd-direct.com
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1982265294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 TOWN PARK LN STE 300",
"city": "EVANS",
"state": "GA",
"postal_code": "308093477",
"telephone_number": "706-210-8855",
"fax_number": "706-432-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 TOWN PARK LN STE 300",
"city": "EVANS",
"state": "GA",
"postal_code": "308093477",
"telephone_number": "706-210-8855",
"fax_number": "706-432-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKETT",
"first_name": "JOANNA",
"middle_name": "MANN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.