Constance Crisp, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-2030 Issued in AR

Practice address

307 E Sevier St
Benton, AR 72015-3934

Phone

(501) 315-4224

Fax

(501) 776-0411

NPI assigned

Oct 5, 2005

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 2, 2002 through Oct 2, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Counseling Clinic, Inc.

  • Community/Behavioral Health Agency
  • Hot Springs, AR
  • NPI 1578870663
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1255328134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E SEVIER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153934",
            "telephone_number": "501-315-4224",
            "fax_number": "501-776-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E SEVIER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153934",
            "telephone_number": "501-315-4224",
            "fax_number": "501-776-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "CONSTANCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-2030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5M198",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Luke Crawford, M.D.
• Candace Crawley, RECOVERY ASSISTANT
• Michelle Leann Crews
• Emily Crider, RECOVERY ASSISTANT
• Ashley Crismon
• Paula Crook, RECOVERY ASSISTANT
• Taylor Gibbs Crosby
• Margie Cross
• Jenny Crossland
• Kylie Danae Crouch

• Psychiatry Physician in Benton, AR
• Providers in Benton, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.