Carlene Amelia Crislip, LPCC, ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2102435 Issued in OH

Practice address

7519 Mentor Ave Ste 114
Mentor, OH 44060-5410

Phone

(440) 701-6170

Fax

(440) 527-8043

NPI assigned

Sep 11, 2017

Last updated

Sep 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Insight Counseling and Wellness LLCGroup PAC ID 5799038055, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Insight Counseling and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mentor, OH
  • NPI 1255846952
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1174042154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7519 MENTOR AVE STE 114",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605410",
            "telephone_number": "440-701-6170",
            "fax_number": "440-527-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7519 MENTOR AVE STE 114",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605410",
            "telephone_number": "440-701-6170",
            "fax_number": "440-527-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISLIP",
        "first_name": "CARLENE",
        "middle_name": "AMELIA",
        "credential": "LPCC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2102435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2844093",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin D Craig, P.T.
• John Alan Craigo, PT
• Andria Crawford
• Bryce Cremean, D.D.S.
• April L. Crihfield-Reed
• Jeffrey M Criss
• Javonna L Crook, LPC
• Telisa Cross, LPCC
• Crossroads
• Crossroads Health

• Mental Health Counselor in Mentor, OH
• Providers in Mentor, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.