1. Home
  2. Directory
  3. Georgia
  4. Pelham
  5. Counselor
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS ANICKLETTE O CRUMBLEY LPC
NPI 1225327679
Counselor - Mental Health in Pelham, GA

Active since April 06, 2011PECOS Enrolled
2289 OLD THOMASVILLE RD, PELHAM, GA 31779(678) 499-5669 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1225327679
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS ANICKLETTE O CRUMBLEYCredential: LPC
Location Address2289 OLD THOMASVILLE RDPelham, GA 31779-5832
Mailing Address4002 Highway 78 W Ste 530-112Snellville, GA 30039-7915 · (678) 499-5669
Phone(678) 499-5669
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateApril 6, 2011
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1225327679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AK · 188799
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC006240 (GA)
2289 OLD THOMASVILLE RD, Pelham, GA 31779
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Anicklette O Crumbley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254801566
PECOS Enrollment IDI20260528001464
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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 58 days 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.