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JACK CROWNOVER MA, LPC
NPI 1528821972
Counselor - Professional in Georgetown, TX

Active since January 30, 2024PECOS EnrolledAccepts Medicare Assignment
117 RED ROSE DR, GEORGETOWN, TX 78628(512) 791-6229 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Crownover Ma, Lpc NPPES

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

JACK CROWNOVER MA, LPC (NPI 1528821972) is an individual professional provider in Georgetown, Texas, licensed in Texas (94119) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528821972
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACK CROWNOVERCredential: MA, LPC
Location Address117 RED ROSE DRGeorgetown, TX 78628-2044
Mailing Address3932 Santiam Pass Way Ne Apt 101Salem, OR 97305-4036 · (512) 791-6229
Phone(512) 791-6229
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 30, 2024
Last NPPES UpdateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1528821972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 94119
Also ListedCounselorTaxonomy 101Y00000X · License 94119 (TX)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 94119 (TX)
117 RED ROSE DR, Georgetown, TX 78628
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Crownover Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537637921
PECOS Enrollment IDI20260504007943
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 Jack Crownover's NPI number?

The NPI number for Jack Crownover is 1528821972. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Jack Crownover located?

Jack Crownover practices at 117 Red Rose Dr, Georgetown, TX 78628. The listed phone number is (512) 791-6229.

What is Jack Crownover's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jack Crownover enrolled in Medicare?

Yes. Jack Crownover is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Crownover was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.