MISS ANICKLETTE O CRUMBLEY LPC
NPI 1225327679
Counselor - Mental Health in Pelham, GA
About Miss Anicklette O Crumbley Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS ANICKLETTE O CRUMBLEY LPC (NPI 1225327679) is an individual mental health provider in Pelham, Georgia, licensed in Alaska (188799) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Anicklette O Crumbley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anicklette Crumbley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eagle River, AK 99577
- Reassigned Medicare billing, Alaska enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Anicklette Crumbley's NPI number?
The NPI number for Anicklette Crumbley is 1225327679. It was assigned to this individual provider in the NPPES registry on April 6, 2011.
Where is Anicklette Crumbley located?
Anicklette Crumbley practices at 2289 Old Thomasville Rd, Pelham, GA 31779. The listed phone number is (678) 499-5669.
What is Anicklette Crumbley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Anicklette Crumbley enrolled in Medicare?
Yes. Anicklette Crumbley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anicklette Crumbley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anicklette Crumbley reassigns Medicare benefits to Freedom Behavioral Health Alaska LLC (Eagle River, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anicklette Crumbley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anicklette Crumbley accept?
Health plans from Moda Health Plan, Inc. list Anicklette Crumbley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Anicklette Crumbley was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Miss Anicklette O Crumbley, LPC · NPI 1225327679
Mental Health provider in Pelham, Georgia. Individual provider, active in the CMS NPPES registry since April 6, 2011.
## Identity
- **NPI:** 1225327679 (Entity type: Individual)
- **Enumerated:** April 6, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 188799 (Alaska)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2289 OLD THOMASVILLE RD, Pelham, GA 31779-5832
- **Phone:** (678) 499-5669
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Freedom Behavioral Health Alaska LLC (NPI 1003671348, Eagle River, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** June 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225327679) · Data from the CMS NPPES public registry.