NPIMap

Organization Active NPI

Resolutions Heatlh Alliance

  • Mental Health Counselor
  • Lake City, FL
National Provider Identifier
1104246628
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESOLUTIONS HEATLH ALLIANCE
Practice address
492 W Duval St
Lake City, FL 32055-3899
Phone
(386) 754-9005
Fax
(386) 754-9011
NPI assigned
Apr 23, 2014
Organization subpart
Yes
Parent organization
RESOLUTIONS HEALTH ALLIANCE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Erin Crumitie
Title
Ceo
Phone
(386) 754-9005

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

492 W Duval St
Lake City, FL 32055-3899

Mailing address

492 W Duval St
Lake City, FL 32055-3899
Phone (386) 754-9005

Other identifiers 1

IdentifierTypeStateIssuer
018892800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Resolutions Health Alliance PA4 organizations share this tax ID, including this one
Part of
Resolutions Health Alliance PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

492 W Duval St
Lake City, FL 32055
Phone (386) 754-9005

922 SW Baya Dr
Lake City, FL 32025
Phone (386) 697-8115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1104246628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553899",
            "telephone_number": "386-754-9005",
            "fax_number": "386-754-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553899",
            "telephone_number": "386-754-9005",
            "fax_number": "386-754-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTIONS HEATLH ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESOLUTIONS HEALTH ALLIANCE, PA",
        "enumeration_date": "2014-04-23",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "CRUMITIE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-754-9005"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018892800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.