Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Crownover, MA, LPC

Individual provider Professional Counselor · NPI 1528821972

Jack Crownover, MA, LPC is a Mental Health Counselor in Georgetown, Texas. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

117 Red Rose Dr
Georgetown, TX 78628-2044
Phone: (512) 791-6229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 94119 (TX)
Counselor Taxonomy 101Y00000X · Licence 94119 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 94119 (TX)

Record details

NPI number1528821972
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedJanuary 30, 2024
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address3932 Santiam Pass Way Ne Apt 101, Salem, OR 97305-4036

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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