Individual provider Active NPI

Minnie Joyce Crawford, L.P.C., L.M.F.T.

  • Professional Counselor
  • Vidalia, LA
National Provider Identifier
1982975413
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2542 Issued in LA
Practice address
100 N Hickory St
Vidalia, LA 71373-3315
Phone
(318) 372-3134
Fax
(318) 336-7112
NPI assigned
Jan 13, 2012
Last updated
Jan 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2542 LA Primary

Addresses

Primary practice location

100 N Hickory St
Vidalia, LA 71373-3315

Mailing address

120 Highway 921
Clayton, LA 71326-4701
Phone (318) 389-6722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429003472 LA Practitioner - Marriage and Family Therapist 7315387065 Practice locations: Vidalia, LA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 N Hickory St
Vidalia, LA 71373-3315
Phone (318) 372-3134

120 Hwy 921
Clayton, LA 71326-4701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2542LAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1982975413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HIGHWAY 921",
            "city": "CLAYTON",
            "state": "LA",
            "postal_code": "713264701",
            "telephone_number": "318-389-6722",
            "fax_number": "318-389-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HICKORY ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733315",
            "telephone_number": "318-372-3134",
            "fax_number": "318-336-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "MINNIE",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, LA

Sources for this page

Verify at the official NPI Registry.