JUDY L CROCKETT (NPI# 1730645052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730645052 |
| Entity Type | Individual |
| Full Name | JUDY L CROCKETT |
| Credential | MA, LLPC |
| Practice Address |
115 Chestnut St Apt B Saint Louis MI 48880-1308 |
| Mailing Address |
Po Box 75 Saint Louis MI 48880-0075 |
| Practice Telephone | 9895022735 |
| Mailing Telephone | 9895022735 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401016698 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE OFMICHIGAN | 6401016698 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063963510 | Judy Crockett | Registered Nurse | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2016-10-19 |
| Street Address |
115 CHESTNUT ST APT B |
| City | SAINT LOUIS |
| State | MI |
| Zip Code | 48880-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036838 | Sheril Amilia Rolston | Technician/Technologist | 223 S Deleware St, Saint Louis, MI 48880 | 2020-06-08 |
| 1376603175 | Nancy Louise Parsons | Counselor | 214 W Saginow St, St Louis, MI 48880 | 2006-12-11 |
| 1396846234 | Greg William Lowe | Dentist | 622 E. Washington Ave., St. Louis, MI 48880 | 2006-09-25 |
| 1598319196 | James H Seals Peter B Tacia & Tad J Bartz Od PC | Optometrist | 235 N Mill St, St Louis, MI 48880 | 2019-07-31 |
| 1922469170 | Justin Michael Elliott | Occupational Therapist | 1149 W Monroe Rd, St. Louis, MI 48880 | 2016-03-16 |
| 1871941880 | Gary Dwayne Tegge | Technician, Other | 616 Maple St, Saint Louis, MI 48880-1335 | 2016-05-31 |
| 1265092589 | Mari I Debolt | Emergency Medical Technician, Basic | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-18 |
| 1013579168 | Mari's Cleaning and Senior Care Services | Home Health | 123 N Pine St, Saint Louis, MI 48880-1428 | 2019-06-28 |
| 1386644839 | Evans Drugs of Saint Louis LLC | Durable Medical Equipment & Medical Supplies | 116 N Mill St, Saint Louis, MI 48880-1521 | 2005-07-27 |
| 1497050454 | Aspire Rx LLC | Pharmacy | 116 N Mill St, Saint Louis, MI 48880-1521 | 2011-01-21 |
| Find all providers in zip 48880 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
| 1467067504 | Anne Margaret Perkins | Counselor | 9733 Saint Charles Rock Rd, Saint Louis, MO 63114-2625 | 2020-09-15 |
| 1730792722 | Aryn Bostic | Counselor | 7584 Olive Blvd Ste 203, Saint Louis, MO 63130-1600 | 2020-08-28 |
| 1417568932 | Child and Family Empowerment Center | Counselor | 800 N Tucker Blvd Fl 1, Saint Louis, MO 63101-1008 | 2020-08-10 |
| 1720603830 | Kelly Marie Buckley | Counselor | 5939 Hilgard Pl, Saint Louis, MO 63109-3445 | 2020-06-15 |
| 1407479207 | Lauren Elizabeth Summers | Counselor | 6261 Reber Pl, Saint Louis, MO 63139-2617 | 2020-05-27 |
| 1306469960 | Walter Robert Scull | Counselor | 1300 Kirkham Ave, Saint Louis, MO 63122-3127 | 2020-05-18 |
| 1982226759 | David Mcgraw | Counselor | 28 Reasor Dr, Saint Louis, MO 63135-1125 | 2020-05-14 |
| 1992326565 | Chantrell M Carter | Counselor | 5027 Mardel Ave, Saint Louis, MO 63109-1731 | 2020-05-05 |
| 1508486333 | Evelyn Aviva Witten | Counselor | 130 S Bemiston Ave Ste 604, Saint Louis, MO 63105-1913 | 2020-04-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 48880 |
Please comment or provide details below to improve the information on JUDY L CROCKETT.
| 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.