Bryan Crisp, LMFT, BCBA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1169 Issued in NC

Practice address

620 Lynndale Court
Suite a
Greenville, NC 27858-5436

Phone

(252) 413-8890

Fax

(252) 756-7533

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1023139508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LYNNDALE COURT",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585436",
            "telephone_number": "252-413-8890",
            "fax_number": "252-756-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LYNNDALE COURT",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585436",
            "telephone_number": "252-413-8890",
            "fax_number": "252-756-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "LMFT, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "1169",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Creech-Sutton, CMF
• Nicole Darden Creech
• Rhonda Tyndall Creech, RNC NNP
• Devin Patrick Cregan
• Colin Crickard
• Amy Croft, PA
• Monica Crolle
• Millicent Ting Croman, MB, BCH, BAO
• Mary Claire Cron, PA-C
• Andrew Tyler Croom, PHARMD

• Marriage & Family Therapist in Greenville, NC
• Providers in Greenville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.