Individual provider Active NPI

Adison Cripe

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1003674219
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP14911 Issued in MD
Practice address
921 E Fort Ave
Baltimore, MD 21230-5134
Phone
(667) 668-2566
NPI assigned
Mar 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LGP14911 MD Primary

Addresses

Primary practice location

921 E Fort Ave
Baltimore, MD 21230-5134

Mailing address

3448 Roland Ave
Baltimore, MD 21211-2426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260324003735 DC Practitioner - Mental Health Counselor 0143704486 Reassigns benefits to 1 organization
I20260324003869 MD Practitioner - Mental Health Counselor 0143704486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

120 Sister Pierre Dr
Suite 403
Towson, MD 21204-7536
Phone (410) 823-6408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP14911MDMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.adisoncripe@131200.advancedmd-direct.com

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1003674219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 ROLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E FORT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305134",
            "telephone_number": "667-668-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIPE",
        "first_name": "ADISON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP14911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.