Crispin Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CRISPIN COUNSELING LLC

Practice address

8995 SW Miley Rd Ste 103
Wilsonville, OR 97070-5485

Phone

(503) 951-7990

Fax

(503) 785-9993

NPI assigned

Nov 27, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Heidi Lynn Crispin, LPC, LMFT ASSOCIATENPI 1457801847

Title

Counselor

Phone

(503) 951-7990

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Lynn Crispin, LPC, LMFT ASSOCIATE

  • Mental Health Counselor
  • Wilsonville, OR
  • NPI 1457801847
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1326685157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24935 NE PRAIRIE VIEW DR",
            "city": "AURORA",
            "state": "OR",
            "postal_code": "970029547",
            "telephone_number": "503-951-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 SW MILEY RD STE 103",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705485",
            "telephone_number": "503-951-7990",
            "fax_number": "503-785-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISPIN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "CRISPIN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "503-951-7990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LMFT ASSOCIATE"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Eric Courtney, BA
• Skylinn Cowan
• Joshua Cox
• Madison Cox
• Amy Louise Crandall, RN
• Heidi Lynn Crispin, LPC, LMFT ASSOCIATE
• Crossroads Treatment & Counseling Services, Inc
• Ma. Ricca Cuenca
• Gabriel P Currie, M.D.
• Stephen R Curtiss

• Adult Mental Health Clinic/Center in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.