Active NPI
Jennifer Lynn Crisp, LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1134868227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 82675
- Practice address
- 18788 Marsh LN Apt 913
Dallas, TX 75287-3547 - Phone
- (214) 537-1523
- NPI assigned
- May 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 82675 | TX | Primary |
Addresses
Primary practice location
18788 Marsh LN Apt 913
Dallas, TX 75287-3547
Mailing address
18788 Marsh LN Apt 913
Dallas, TX 75287-3547
Phone (214) 537-1523
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Dallas |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 82675 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1134868227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18788 MARSH LN APT 913",
"city": "DALLAS",
"state": "TX",
"postal_code": "752873547",
"telephone_number": "214-537-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18788 MARSH LN APT 913",
"city": "DALLAS",
"state": "TX",
"postal_code": "752873547",
"telephone_number": "214-537-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISP",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2022-05-27",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "82675",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Dallas",
"affiliation": "N",
"endpointDescription": "Do not have one at this time",
"address_1": "18788 Marsh Ln Apt 913",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752873547",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.