Krystal Redcross, PC-CR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1300102 Issued in OH

Practice address

22001 Fairmount Blvd
Cleveland, OH 44118-4819

Phone

(216) 932-2800

NPI assigned

Aug 19, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: pbc.krystalredcross@140094.advancedmd-direct.com

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1053710756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4096 LINNELL RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212727",
            "telephone_number": "216-932-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 FAIRMOUNT BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441184819",
            "telephone_number": "216-932-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDCROSS",
        "first_name": "KRYSTAL",
        "name_prefix": "Ms.",
        "credential": "PC-CR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1300102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery Resources
• Recovery Resources
• Recovery Solutions of Northeast Ohio
• Tiffany Marie Reda
• Anita P Redahan, MD
• Cedric Redden
• Maria Redden
• Nicholas Ford Redden, PT, DPT, ATC, PES
• Pamela L. Redden, M.D.
• Eric Delvaughn Reddick, RN, BSN

• Mental Health Counselor in Cleveland, OH
• Providers in Cleveland, 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 Aug 19, 2014; 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.