JOSHUA MCLEOD CROCKER (NPI# 1043638430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043638430 |
| Entity Type | Individual |
| Full Name | JOSHUA MCLEOD CROCKER |
| Credential | LMFT |
| Practice Address |
1650 Oregon St Ste 210 Redding CA 96001-1757 |
| Practice Telephone | 5303954777 |
| Practice Fax Number | 5302433391 |
| Mailing Telephone | 5303954777 |
| Mailing Fax Number | 5302433391 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2019-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 542 Ocean St, Suite D, Santa Cruz, CA 950606622 | 8314590444 | 8314590665 |
| Street Address |
1650 OREGON ST STE 210 |
| City | REDDING |
| State | CA |
| Zip Code | 96001-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046791 | Haley Marie Henderson | Counselor | 3020 Carson Dr Apt 2, Redding, CA 96003-7740 | 2020-09-02 |
| 1518585439 | Emely Fabre | Counselor | 2183 Princeton Way # 0, Redding, CA 96003-8239 | 2020-07-07 |
| 1457843211 | Greta Watkins | Counselor | 43 Hilltop Dr, Redding, CA 96003-2807 | 2018-06-06 |
| 1639668213 | Marcia Ramstrom | Counselor | 1630 Canter Ct, Redding, CA 96002-4883 | 2018-05-09 |
| 1780173781 | Angela Nicole Macdougall | Counselor | 3545 Sunglow Dr, Redding, CA 96001-6143 | 2018-05-04 |
| 1770086605 | Tonya Leigh Clarke | Counselor | 1421 Court St, Redding, CA 96001-1634 | 2018-03-16 |
| 1861946634 | Karen Christine Strand | Counselor | 1933 Market St Ste C, Redding, CA 96001-1929 | 2016-08-10 |
| 1487016291 | Daniel Hardy Jr. | Counselor | 3191 Churn Creek Rd # Re, Redding, CA 96002-2123 | 2016-03-22 |
| 1730584491 | Vickie Lynn Parker | Counselor | 1930 West St, Redding, CA 96001-1765 | 2014-10-23 |
| 1407257132 | Brigitte Robertson | Counselor | 448 Redcliff Dr Ste 121, Redding, CA 96002-0159 | 2014-09-12 |
| Find all providers in REDDING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.