Julia Kristin Crivello

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4285-226 Issued in WI

Practice address

2222 N Mayfair Rd Ste 120
Wauwatosa, WI 53226-2262

Phone

(414) 939-9390

Fax

(414) 939-9383

NPI assigned

Jun 29, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Julia Kristin Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Emerald Integrative Therapy LLC

  • Professional Counselor
  • Thiensville, WI
  • NPI 1871337212
  NPD Authorized official
• Multicultural Trauma and Addiction Treatment Center of Wisconsin

  • Professional Counselor
  • Wauwatosa, WI
  • NPI 1376013516
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013438084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N MAYFAIR RD STE 120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262262",
            "telephone_number": "414-939-9390",
            "fax_number": "414-939-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N MAYFAIR RD STE 120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262262",
            "telephone_number": "414-939-9390",
            "fax_number": "414-939-9383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5235 N Ironwood Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532174906",
            "country_code": "US",
            "telephone_number": "414-902-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIVELLO",
        "first_name": "JULIA",
        "middle_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4285-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "JOHNSON",
            "middle_name": "KRISTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James A Cranberg, M.D.
• Cream City Abilities
• Mark R Crego, DDS
• Michael Crimmins, MD
• James Jeffrey Crisco, PH.D.
• Lauren Croal, D.P.T.
• Mary A Crowder, RN
• John Crowe, P.T., L.A.T.
• Steven Croyle, PA
• Veronica Cruz, LPC-IT

• Professional Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.