Merri Crittle

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

630 W Adams St Ste 403
Jacksonville, FL 32204-1645

Phone

(904) 966-9417

Fax

(904) 341-5505

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Commonwealth Counseling Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, FL
  • NPI 1740870435

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Aging Home Health Care, LLC

  • Home Health Agency
  • Chesapeake, VA
  • NPI 1902603020
  NPD Authorized official

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1356017990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W ADAMS ST STE 403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041645",
            "telephone_number": "904-966-9417",
            "fax_number": "904-341-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W ADAMS ST STE 403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041645",
            "telephone_number": "904-966-9417",
            "fax_number": "904-341-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITTLE",
        "first_name": "MERRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "LIC-1047667",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LIC-1047667",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne G. Criswell
• Kimberly Robin Critelli, M.S., CCC-SLP
• Robin E Criter, AUD
• Critical Care of N Jacksonville, PA
• Andre Critsinelis, MD
• Lakisha Crocker
• Allison Kerianne Crockett, M.D.
• Jane Anne Crockett, RN
• Shaquita Crockett, REGISTERED NURSE
• Stephany L Crockett

• Case Manager/Care Coordinator in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.