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

Miss. Anicklette O Crumbley, LPC

Individual provider Mental Health Counselor · NPI 1225327679

Miss. Anicklette O Crumbley, LPC is a Mental Health Counselor in Pelham, Georgia. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Alaska and Georgia.

Years since qualifying
21
Licensed in
AK, GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

2289 Old Thomasville Rd
Pelham, GA 31779-5832
Phone: (678) 499-5669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 188799 (AK)
Professional Counselor Taxonomy 101YP2500X · Licence LPC006240 (GA)

Record details

NPI number1225327679
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedApril 6, 2011
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare