IndividualActive
Ainigriv Crockett, LCPC
NPI 1306500657 · Mental Health Counselor · Columbia, MD
Provider details
- NPI number
- 1306500657
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LC12104 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
8894 Stanford Blvd
Columbia, MD 21045-4794
Phone: (240) 839-1361
Approximate (ZIP-level) locationGet directions
Mailing address
8894 Stanford Blvd Ste 103
Columbia, MD 21045-5161
Registry dates
- Enumerated
- 2021-10-22
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.