Individual provider Active NPI

Lisa Ann Crawley-McGhee, L.I.C.D.C.-C.S.

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1124470612
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
964511 Issued in OH
Practice address
6100 Channingway Blvd Ste 605
#605
Columbus, OH 43232-2999
Phone
(614) 735-4229
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 964511 OH Primary

Addresses

Primary practice location

6100 Channingway Blvd Ste 605
#605
Columbus, OH 43232-2999

Mailing address

6100 Channingway Blvd Ste 605
#605
Columbus, OH 43232-2999
Phone (614) 735-4229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
964511OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Manifesting Excellence LLC CurrentSince Apr 30, 2023 Accepting new patients

Locations

6100 Channingway Blvd
Ste 605
Columbus, OH 43232
Phone (614) 626-8464

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1124470612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 CHANNINGWAY BLVD STE 605",
            "address_2": "#605",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322999",
            "telephone_number": "614-735-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 CHANNINGWAY BLVD STE 605",
            "address_2": "#605",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322999",
            "telephone_number": "614-735-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWLEY-MCGHEE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "L.I.C.D.C.-C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "964511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.