Individual provider Active NPI

Rebecca Crawford

  • Marriage & Family Therapist
  • Redlands, CA
National Provider Identifier
1992187306
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97686 Issued in CA
Practice address
1740 Plum LN Ste B
Redlands, CA 92374-0109
Phone
(909) 557-6574
Fax
(909) 363-9202
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 97686 CA Primary

Addresses

Primary practice location

1740 Plum LN Ste B
Redlands, CA 92374-0109

Mailing address

PO Box 3276
Hemet, CA 92546-3276
Phone (909) 557-6574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241011000936 CA Practitioner - Marriage and Family Therapist 5193257418 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97686CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring to Autumn Family Counseling, Inc. Marriage & Family Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

2068 Orange Tree Ln
Ste 216
Redlands, CA 92374
Phone (909) 553-0448

1740 Plum Ln
Ste B
Redlands, CA 92374
Phone (909) 557-6574

1275 W Park Ave
#7461
Redlands, CA 92373

11870 Pierce St
Ste 150
Riverside, CA 92505
Phone (909) 557-6574

Organizations & group practices 1

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1992187306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925463276",
            "telephone_number": "909-557-6574",
            "fax_number": "909-363-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 PLUM LN STE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740109",
            "telephone_number": "909-557-6574",
            "fax_number": "909-363-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.