Individual provider Active NPI

Janelle A. Crisp, LPC

  • Mental Health Counselor
  • Pittsburgh, PA
National Provider Identifier
1003177916
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC009319 Issued in PA
Practice address
100 5TH Ave Ste 1200
Pittsburgh, PA 15222-1834
Phone
(412) 204-6017
Fax
(412) 774-2406
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X PC009319 PA Primary

Addresses

Primary practice location

100 5TH Ave Ste 1200
Pittsburgh, PA 15222-1834

Mailing address

100 5TH Ave Ste 1200
Pittsburgh, PA 15222-1834
Phone (412) 204-6017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC009319PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crisp Forensic Counseling LLC CurrentSince Jan 21, 2022 Accepting new patients

Locations

100 5th Ave
Ste 503
Pittsburgh, PA 15222

100 5th Ave
Ste 1200
Pittsburgh, PA 15222
Phone (412) 204-6017

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1003177916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 5TH AVE STE 1200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221834",
            "telephone_number": "412-204-6017",
            "fax_number": "412-774-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 5TH AVE STE 1200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221834",
            "telephone_number": "412-204-6017",
            "fax_number": "412-774-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "JANELLE",
        "middle_name": "A.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.