Active NPI
T-Rex Crawford, ABD, LCAS, CSI, LCSW
- Addiction (Substance Use Disorder) Counselor
- Goldsboro, NC
National Provider Identifier
1992031892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2011
- Practice address
- 103 Ormond Ave
Goldsboro, NC 27530-4832 - Phone
- (919) 222-1297
- Fax
- (855) 329-8739
- NPI assigned
- Oct 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2011 | NC | Primary |
| Clinical Social Worker | 1041C0700X | C007765 | NC |
Addresses
Primary practice location
103 Ormond Ave
Goldsboro, NC 27530-4832
Mailing address
PO Box 698
Goldsboro, NC 27533-0698
Phone (919) 222-1297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6007449 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dwi and Counseling Services, Inc. | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Dwi and Counseling Services, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Goldsboro, NC
- NPI 1578810099
Addiction (Substance Use Disorder)
-
- Addiction (Substance Use Disorder) Counselor
- Goldsboro, NC
- NPI 1538445341
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344643200000",
"number": "1992031892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275330698",
"telephone_number": "919-222-1297",
"fax_number": "855-329-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 ORMOND AVE",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275304832",
"telephone_number": "919-222-1297",
"fax_number": "855-329-8739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "T-REX",
"credential": "ABD, LCAS, CSI, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-27",
"last_updated": "2012-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2011",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C007765",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007449",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.