Peyton Nicole Cram, LPCC, LPC, LCDC III

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2102280 Issued in OH

Practice address

1578 Medford Ave
Youngstown, OH 44514-1024

Phone

(303) 208-9368

NPI assigned

Mar 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Marnie Nicole Cram Former name

Electronic endpoints 1

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1043750672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124730",
            "telephone_number": "303-208-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 MEDFORD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141024",
            "telephone_number": "303-208-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAM",
        "first_name": "PEYTON",
        "middle_name": "NICOLE",
        "credential": "LPCC, LPC, LCDC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "1500707",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.161766",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC012987",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2102280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344350",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peyton@cchangecounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1578 Medford Ave",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445141024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARNIE",
            "last_name": "CRAM",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Jordan Coyne
• Jabrayah Craft
• Sarah E Cragle, CDCA, QMHS
• Ashley Lynn Craig, APRN, CNP
• De'Marko Craig
• Natasha E Cramer, LPCC-S, LICDC
• Taylor Crane, BCBA
• Abby Crawford, LCDC III
• Aubryn Marie Crawford
• Carl David Crawford II

• Mental Health Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.