MEDICARE: JAMES CRAWFORD LPC

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	12775	CA
2	101YP2500X	Professional Counselor	2007034756	MO
3	101YP2500X	Professional Counselor	CP5154-R	NV

General Provider Information

NPI Number	:	1942511829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES CRAWFORD LPC

Provider Business Mailing Address
First Line	:	3735 SCAFATI AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1908
Country	:	US
Telephone Number	:	314-504-1893
Fax Number	:

Provider Business Practice Location Address
First Line	:	3735 SCAFATI AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1908
Country	:	US
Telephone Number	:	314-504-1893
Fax Number	:

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

Provider Enumeration Date	:	06/25/2010
Last Update Date	:	03/23/2026

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