Cristina Jolley, LPCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

090302 Issued in OH

Practice address

14161 W River Rd
Columbia Station, OH 44028-8953

Phone

(440) 879-8090

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Aaron'S Hope L.L.C.

  • Mental Health Counselor
  • Grafton, OH
  • NPI 1518465889

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1104962919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14161 W RIVER RD",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440288953",
            "telephone_number": "440-879-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14161 W RIVER RD",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440288953",
            "telephone_number": "440-879-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "CRISTINA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0501023",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "090302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "341690006",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Hershey, RD
• James Huet Hitchcock, DDS
• Martin Anthony Hritz, D.M.D.
• Holly J Hutchinson, LPN
• Installations by Beck, Inc.
• Margaret Mary Kenneley, LICENSED NURSE
• Stacy Kiley, LPN
• Lisa Kirby, LPC, MFT
• Taylor Jade Kreidler
• Ida Mae Kuczinski

• Addiction (Substance Use Disorder) Counselor in Columbia Station, OH
• Providers in Columbia Station, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.