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SANDRA GAIL CROCKER LPC, CSAC, CRC
NPI 1417462052
Counselor in North Chesterfield, VA

Active since December 05, 2017PECOS Enrolled
9609 JEFFERSON DAVIS HWY, NORTH CHESTERFIELD, VA 23237(804) 275-1116(804) 275-1850 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sandra Gail Crocker Lpc, Csac, Crc NPPES

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

SANDRA GAIL CROCKER LPC, CSAC, CRC (NPI 1417462052) is an individual counselor in North Chesterfield, Virginia, licensed in Virginia (0701007231) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417462052
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSANDRA GAIL CROCKERCredential: LPC, CSAC, CRC
Location Address9609 JEFFERSON DAVIS HWYNorth Chesterfield, VA 23237-4621
Mailing Address9609 Jefferson Davis HwyNorth Chesterfield, VA 23237-4621 · (804) 275-1116 · Fax (804) 275-1850
Phone(804) 275-1116
Fax(804) 275-1850
Sole ProprietorNo
Enumeration DateDecember 5, 2017
✔ NPI 1417462052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in VA · 0701007231
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0710102955 (VA)
Also ListedRehabilitation CounselorTaxonomy 225C00000X · License 00116571 (VA)
9609 JEFFERSON DAVIS HWY, North Chesterfield, VA 23237
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Gail Crocker Lpc, Csac, Crc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Crocker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henrico Area Mental Heatlh And Developmental Services
18 mi
Mental Health (Including Community Mental Health Center)
10299 WOODMAN RD
Glen Allen, VA 23060
  • Reassigned Medicare billing, Virginia enrollment
  • 84 clinicians in this Medicare group
NPI 1023119773 (804) 727-8500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

MICHAEL ANTHONY JOHNSON CSAC
Counselor (Addiction (Substance Use Disorder))
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237
Chesterfield County (804) 275-1116
STANLEY K SMITH BS, MHC, CPAC
Counselor (Addiction (Substance Use Disorder))
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237
Chesterfield County (804) 275-1116
MS. JENNIFER MARIE HARRISON MS, CRC
Counselor (Professional)
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237
Chesterfield County (804) 275-1116
MR. JOHN J SHUMATE III MED, CSAC
Counselor (Addiction (Substance Use Disorder))
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237
Chesterfield County (804) 275-1116
DR. ROBIN MICHELLE SAYLES PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9609 JEFFERSON DAVIS HWY
RICHMOND, VA 23237
Chesterfield County (804) 275-1116
CAMILLE N APPLETON MS, CAADC
Counselor (Addiction (Substance Use Disorder))
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237
Chesterfield County (804) 275-1116
ELIZABETH R RUSSELL BA, BS
Counselor (Addiction (Substance Use Disorder))
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237
Chesterfield County (804) 275-1116
STEWART MURR
Counselor (Addiction (Substance Use Disorder))
9609 JEFFERSON DAVIS HWY
NORTH CHESTERFIELD, VA 23237
Chesterfield County (804) 275-1116

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 Sandra Crocker's NPI number?

The NPI number for Sandra Crocker is 1417462052. It was assigned to this individual provider in the NPPES registry on December 5, 2017.

Where is Sandra Crocker located?

Sandra Crocker practices at 9609 Jefferson Davis Hwy, North Chesterfield, VA 23237. The listed phone number is (804) 275-1116.

What is Sandra Crocker's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Sandra Crocker enrolled in Medicare?

Yes. Sandra Crocker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Crocker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Crocker reassigns Medicare benefits to Henrico Area Mental Heatlh And Developmental Services (Glen Allen, VA). 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 Sandra Crocker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandra Crocker was last updated on December 5, 2017. 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.