MEDICARE: MELISSA CROWTHER MA, LPC, LSC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC.0021255	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528928041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA CROWTHER MA, LPC, LSC, NCC

Provider Business Mailing Address
First Line	:	1316 LAKEWOOD DR
Second Line	:
City	:	ALAMOSA
State	:	CO
Zip	:	81101-2173
Country	:	US
Telephone Number	:	719-580-8026
Fax Number	:

Provider Business Practice Location Address
First Line	:	1123 WEST AVE UNIT C
Second Line	:
City	:	ALAMOSA
State	:	CO
Zip	:	81101-3005
Country	:	US
Telephone Number	:	719-589-0202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	03/05/2026

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