Organization Active NPI

Chriscry Counseling Service

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1124030713
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I5029 Issued in OH
Legal business name
CHRISCRY COUNSELING SERVICE
Practice address
9409 Columbia Ave
Cleveland, OH 44108-2911
Phone
(216) 451-1510
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Crystal Lynn Banks, LISW
Title
Clinical Social Worker
Phone
(216) 451-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I5029 OH Primary

Addresses

Primary practice location

9409 Columbia Ave
Cleveland, OH 44108-2911

Mailing address

9409 Columbia Ave
Cleveland, OH 44108-2911
Phone (216) 451-1510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124030713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 COLUMBIA AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082911",
            "telephone_number": "216-451-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 COLUMBIA AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082911",
            "telephone_number": "216-451-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISCRY COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "216-451-1510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I5029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.