MICHAEL WADE CROUCH (NPI# 1770121394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770121394 |
| Entity Type | Individual |
| Full Name | MICHAEL WADE CROUCH |
| Credential | NCPRSS |
| Practice Address |
309 E Main St Pickens SC 29671-2319 |
| Practice Telephone | 8648985800 |
| Practice Fax Number | 8648985804 |
| Mailing Telephone | 8648985800 |
| Mailing Fax Number | 8648985804 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891976270 | Michael E Crouch | Internal Medicine | 105 Pine Bluff Rd, Suite 7, Salisbury, MD 21801-7160 | 2007-11-14 |
| 1225118664 | Michael Avery Crouch | Family Medicine | 14023 Southwest Fwy, Sugar Land, TX 77478-3550 | 2006-10-17 |
| Street Address |
309 E MAIN ST |
| City | PICKENS |
| State | SC |
| Zip Code | 29671-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134127475 | Pickens County Commission On Alcohol & Drug Abuse | Clinic/Center | 309 E Main St, Pickens, SC 29671-2319 | 2005-07-11 |
| 1235749086 | Randall Christopher Mcrae | Counselor | 309 E Main St, Pickens, SC 29671-2319 | 2020-08-06 |
| 1417571936 | Emily Perez | Counselor | 309 E Main St, Pickens, SC 29671-2319 | 2020-06-01 |
| 1083249221 | Chanel Nicole Giles | Social Worker | 309 E Main St, Pickens, SC 29671-2319 | 2020-03-09 |
| 1679111520 | Beverly Jean Gunter | Counselor | 309 E Main St, Pickens, SC 29671-2319 | 2019-12-11 |
| 1538706403 | Brittany Rahn | Counselor | 309 E Main St, Pickens, SC 29671-2319 | 2019-12-10 |
| 1073159604 | Rhonda Sanford | Peer Specialist | 309 E Main St, Pickens, SC 29671-2319 | 2019-11-19 |
| 1053960823 | Shaylin Faith King | Marriage & Family Therapist | 309 E Main St, Pickens, SC 29671-2319 | 2019-09-05 |
| 1689237349 | Kelsey Crawford | Counselor | 309 E Main St, Pickens, SC 29671-2319 | 2019-04-18 |
| 1740742188 | Rebekah Loker | Counselor | 309 E Main St, Pickens, SC 29671-2319 | 2019-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588159750 | Rhonda B Billingsley | Counselor | 44 Lagerholm Mtn Rd, Pickens, SC 29671 | 2018-06-28 |
| 1275051815 | Matthew Christopher Going | Counselor | 309 E Main Street, Pickens, SC 29671 | 2017-09-05 |
| 1528584596 | Rachel L Roach | Counselor | 309 E. Main Street, Pickens, SC 29671 | 2017-08-21 |
| 1679828172 | Dustin Bradley Harward | Specialist/Technologist | 203 Shady Grove Estates, Pickens, SC 29671 | 2012-07-20 |
| 1770616633 | Paul W Giddings | Dentist | 108 Massingill Rd, Pickens, SC 29671 | 2007-03-13 |
| 1558405563 | James Rudolph Mahanes | Surgery | 123 Wg Acker Drive, Suite D, Pickens, SC 29671 | 2007-02-16 |
| 1598839573 | Mary C Hammond | Family Medicine | 865 Pendleton St, Pickens, SC 29671 | 2006-11-20 |
| 1467400671 | Kathy Marie Waggett | Psychiatry & Neurology | 314 West Main St, Pickens, SC 29671 | 2006-05-04 |
| 1932753480 | Jaimee Chapman | Social Worker | 309 E. Main Street, Pickens, SC 29671 | 2019-08-01 |
| 1538418637 | Lauri Stump Keeney | Pharmacist | 204 Hampton Ave, Pickens, SC 29671 | 2012-09-05 |
| Find all providers in zip 29671 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073159604 | Rhonda Sanford | Peer Specialist | 309 E Main St, Pickens, SC 29671-2319 | 2019-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492315 | Ethel B Denmark | Peer Specialist | 211 Paige Point Rd., Sheldon, SC 29941 | 2020-03-13 |
| 1801426457 | Victor Dean Colvard | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-01-23 |
| 1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
| 1205314234 | Lisa Marie Allen | Peer Specialist | 205 Piedmont Blvd # 100, Rock Hill, SC 29732-1836 | 2018-08-01 |
| 1740887637 | Erin Dulik | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-10-05 |
| 1588272777 | Napoleon Gregory | Peer Specialist | 130 Hudson St, Chester, SC 29706-1524 | 2020-07-14 |
| 1366079626 | Angela B. Ball | Peer Specialist | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2020-03-26 |
| 1790310852 | Ines D Figueroa | Peer Specialist | 719 Okatie Hwy # 170, Okatie, SC 29909-3963 | 2020-03-10 |
| 1013556372 | David Ramsey | Peer Specialist | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2020-01-03 |
| 1730721283 | Buffy Marie Shisler | Peer Specialist | 1644 Jackson St, Barnwell, SC 29812-2156 | 2019-10-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHAEL WADE CROUCH.
| 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.