DR. JENNIFER BAUMAN CROSSON PHD, LPC
NPI 1063907921
Counselor - Professional in Decatur, GA
About Dr. Jennifer Bauman Crosson Phd, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENNIFER BAUMAN CROSSON PHD, LPC (NPI 1063907921) is an individual professional provider in Decatur, Georgia, licensed in Georgia (LPC010255) and active in the NPI registry since June 2018. She has opted out of Medicare through January 18, 2028.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jennifer Bauman Crosson Phd, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 18, 2024 through January 18, 2028.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Crosson's NPI number?
The NPI number for Jennifer Crosson is 1063907921. It was assigned to this individual provider in the NPPES registry on June 24, 2018.
Where is Jennifer Crosson located?
Jennifer Crosson practices at 1466 Knollwood Ter, Decatur, GA 30033. The listed phone number is (404) 863-5009.
What is Jennifer Crosson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Crosson enrolled in Medicare?
No. Jennifer Crosson has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jennifer Crosson was last updated on June 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jennifer Bauman Crosson, PHD, LPC · NPI 1063907921
Professional provider in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since June 24, 2018.
## Identity
- **NPI:** 1063907921 (Entity type: Individual)
- **Enumerated:** June 24, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC010255 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1466 KNOLLWOOD TER, Decatur, GA 30033-1907
- **Phone:** (404) 863-5009
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 18, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** June 24, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1063907921) · Data from the CMS NPPES public registry.