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THERESA CROCKETT L.M.H.C.
NPI 1164571683
Counselor - Mental Health in Orange Park, FL

Active since January 10, 2007
1543 KINGSLEY AVE, SUITE 18A, ORANGE PARK, FL 32073(904) 269-3324(904) 264-2302 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Crockett L.m.h.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA CROCKETT L.M.H.C. (NPI 1164571683) is an individual mental health provider in Orange Park, Florida, licensed in Florida (MH5726) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1164571683
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTHERESA CROCKETTCredential: L.M.H.C.
Location Address1543 KINGSLEY AVE, SUITE 18AOrange Park, FL 32073-4535
Mailing Address1543 Kingsley Ave, Suite 18aOrange Park, FL 32073-4535 · (904) 269-3324 · Fax (904) 264-2302
Phone(904) 269-3324
Fax(904) 264-2302
Sole ProprietorNo
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMay 16, 2012
✔ NPI 1164571683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH5726
1543 KINGSLEY AVE, Orange Park, FL 32073
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSYCHIATRIC ASSOCIATES, PA
Psychiatry & Neurology (Psychiatry)
1543 KINGSLEY AVE, BLDG 14
ORANGE PARK, FL 32073
Clay County (904) 264-6977
MRS. DAYA J PATEL MD
Pediatrics
1543 KINGSLEY AVE, BLDG 9
ORANGE PARK, FL 32073
Clay County (904) 264-1958
JONI NEIDIGH L.M.H.C.
Counselor (Mental Health)
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Clay County (904) 269-3324
MINOR CHAMBLIN PH.D
Psychologist
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Clay County (904) 269-3324
MARC J YOUNG, LLC
Counselor (Mental Health)
1543 KINGSLEY AVE, SUITE 6
ORANGE PARK, FL 32073
Clay County (904) 269-7200
KROP-NEIDIGH PA
Psychologist
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Clay County (904) 269-3324
AFFORDABLE HEALTH CENTER, INC
Chiropractor
1543 KINGSLEY AVE, BUILDING 3
ORANGE PARK, FL 32073
Clay County (904) 264-0770
KROP & NEIDIGH
Psychologist (Clinical)
1543 KINGSLEY AVE, SUITE 18 A
ORANGE PARK, FL 32073
Clay County (904) 269-3324

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 Theresa Crockett's NPI number?

The NPI number for Theresa Crockett is 1164571683. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Theresa Crockett located?

Theresa Crockett practices at 1543 Kingsley Ave Suite 18A, Orange Park, FL 32073. The listed phone number is (904) 269-3324.

What is Theresa Crockett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Theresa Crockett was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.