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Active NPI 1528821972 Individual Practitioner Male Practitioner

Jack Crownover , MA, LPC

Counselor - Professional • Georgetown, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jack Crownover, MA, LPC is a certified Counselor - Professional practicing in Georgetown, TX. With approximately 3 years of clinical experience since completing medical education in 2023, Jack Crownover delivers high-quality medical care to the local community at 117 RED ROSE DR.

Jack Crownover accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

117 Red Rose Dr

Georgetown, TX 786282044

Telephone 5127916229

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Georgetown, TX

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -11.4 yrs vs City Avg
City Avg: 14.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
111 Specialists

Practicing in Georgetown, TX (21203 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crownover (3 Years) 3 Yrs
Georgetown Specialty Average (14.4 Years) 14.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 94119

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License TX 94119

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License TX 94119

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location March 19, 2026

Registered at 117 RED ROSE DR, GEORGETOWN, TX 786282044 (Tel: 5127916229)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2026

Counselor (License #94119 in TX)

📍
Updated Practice Location February 19, 2026

Registered at 3932 SANTIAM PASS WAY NE APT 101, SALEM, OR 973054036 (Tel: 5127916229)

📍
Updated Business Mailing Address February 19, 2026

Registered at 3932 SANTIAM PASS WAY NE APT 101, SALEM, OR 973054036 (Tel: 5127916229)

👤
Provider Name / Credentials Updated February 19, 2026

Recorded as JACK CROWNOVER, MA, LPC

NPI Profile Active January 31, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2024

Registered at 224 BRIGGS LN, SAN MARCOS, TX 78666 (Tel: 5127916229)

📍
Updated Business Mailing Address January 31, 2024

Registered at 224 BRIGGS LN, SAN MARCOS, TX 78666 (Tel: 5127916229)

👤
Provider Name / Credentials Updated January 31, 2024

Recorded as JACK CROWNOVER, MA, LPC ASSOCIATE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2024

Counselor (License #94119 in TX)

🟢
Initial NPI Registration & Enumeration January 30, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528821972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2024
Last Update: March 19, 2026
Sole Proprietor: Yes

Mailing Address

3932 Santiam Pass Way Ne Apt 101

Salem, OR 973054036

Phone: 5127916229

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.