ALBERT L. CRUMP, LCSW, LLC (NPI# 1922500099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922500099 |
| Entity Type | Organization |
| Organization Name | ALBERT L. CRUMP, LCSW, LLC |
| Other Organization Name | AEGIS COUNSELING & CONSULTING |
| Practice Address |
3301 S Providence Rd Ste 101 Columbia MO 65203-3624 |
| Mailing Address |
4302 Cheryl Ct Columbia MO 65203-6522 |
| Practice Telephone | 2144974081 |
| Mailing Telephone | 2144974081 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | MR. ALBERT L CRUMP (MANAGER) |
| Authorized Official Telephone | 2144974081 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | ALBERT L. CRUMP, LCSW, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| aegis counseling & consulting | Doing Business As Name - Organization |
| Street Address |
3301 S PROVIDENCE RD STE 101 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518209527 | Albert L Crump | Social Worker | 3301 S Providence Rd Ste 101, Columbia, MO 65203-3624 | 2013-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1447512892 | Carolina Child Psychiatry, Pa | Clinic/Center | 1911 Barnwell St Ste A, Columbia, SC 29201-2605 | 2012-06-12 |
| 1184984742 | Autism Academy of South Carolina | Clinic/Center | 2243 Percival Rd, Columbia, SC 29223-4021 | 2012-05-16 |
| 1114055076 | Burrell, Inc. | Clinic/Center | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-01 |
| 1710481676 | Fatima Hartman | Clinic/Center | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2018-03-23 |
| 1730609140 | Kimberly C. Walker, M.d. | Clinic/Center | 10630 Little Patuxent Pkwy Ste 313, Columbia, MD 21044-6216 | 2017-06-27 |
| 1700337698 | Life Renewal Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-10-17 |
| 1215243803 | Brother2brother | Clinic/Center | 3031 Scotsman Rd, Columbia, SC 29223-1812 | 2010-08-20 |
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| 1548895790 | Ozark Trails Youth Services | Clinic/Center | 40840 Cr Rd 181-280, Willow Springs, MO 65793-6579 | 2020-03-09 |
| 1366076721 | Midwest Psychological Services, LLC | Clinic/Center | 220 W Argonne Dr Ste B, Kirkwood, MO 63122-4237 | 2020-02-25 |
| 1851860209 | Preferred Family Healthcare, Inc | Clinic/Center | 3300 S National Ave Ste 500, Springfield, MO 65807-7343 | 2018-11-15 |
| 1548759251 | Stacey Juengst Counseling Services | Clinic/Center | 1000 Edgewater Point Drive, Suite 401, Lake Saint Louis, MO 63367-2954 | 2018-05-08 |
| 1982129722 | Solid Ground Counseling Services, LLC | Clinic/Center | 2515 W Allen Dr, Springfield, MO 65810-1300 | 2017-08-12 |
| 1740714823 | Storge LLC | Clinic/Center | 7114 Vernon Ave, University City, MO 63130-2301 | 2017-04-17 |
| 1437527314 | Emotional Health Therapy | Clinic/Center | 7730 Carondelet Ave, Suite 307, Saint Louis, MO 63105-3314 | 2015-09-09 |
| 1154922292 | Eureka Play Therapy | Clinic/Center | 208 N Central Ave Ste D, Eureka, MO 63025-1850 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.