Todd Prentice Crandell, LPCC, LCDCIII

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E0602167 Issued in OH

Practice address

5800 Monroe St.
Building D Suite 4
Sylvania, OH 43560-0160

Phone

(419) 344-5383

NPI assigned

Aug 5, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Racing for Recovery

  • Community/Behavioral Health Agency
  • Holland, OH
  • NPI 1528411097

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1093269292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435600160",
            "telephone_number": "419-344-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST.",
            "address_2": "BUILDING D SUITE 4",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435600160",
            "telephone_number": "419-344-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDELL",
        "first_name": "TODD",
        "middle_name": "PRENTICE",
        "credential": "LPCC, LCDCIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0602167",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "081152",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0602167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCDCIII",
            "identifier": "081152",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCC",
            "identifier": "E0602167",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth A Courtright
• Linda L Cousino, LSW,
• Rose A. Cousino, MSW, LSW
• Craig G. Burkhart, M.D., Inc.
• Amy Cramer, CNP
• Megan Ashley Crippen, MD
• Lynette Crow, LISW-S
• Laura Anne Crowell
• Cohl Cuneo, M.S., CCC-SLP
• Teneashia D Cunningham

• Counselor in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.