Individual provider Active NPI

David Crisafi, MA

  • Mental Health Counselor
  • Midlothian, VA
National Provider Identifier
1205697018
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704015601 Issued in VA
Practice address
14411 Justice Rd Ste B
Midlothian, VA 23113-6907
Phone
(434) 962-9730
NPI assigned
Jan 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704015601 VA Primary

Addresses

Primary practice location

14411 Justice Rd Ste B
Midlothian, VA 23113-6907

Mailing address

15706 New Gale Dr
Midlothian, VA 23112-5019

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0704015601VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rubicon Counseling LLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

14411 Justice Rd
Ste B
Midlothian, VA 23113
Phone (434) 962-9730

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1205697018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15706 NEW GALE DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231125019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 JUSTICE RD STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136907",
            "telephone_number": "434-962-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISAFI",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704015601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.