Kylee N Crislip, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E1800691SUPV Issued in OH

Practice address

625 Cleveland Ave NW
Canton, OH 44702-1805

Phone

(330) 455-0374

Fax

(330) 455-2101

NPI assigned

Oct 14, 2016

Last updated

Dec 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commquest Services, Inc.Group PAC ID 9335110824, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Commquest Services, Inc.

  • Multi-Specialty Clinic/Center
  • Canton, OH
  • NPI 1730168311
  Medicare reassignment Care Compare group NPD
• Commquest Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1841550696
  NPD

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1396296364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021805",
            "telephone_number": "330-455-0374",
            "fax_number": "330-455-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021805",
            "telephone_number": "330-455-0374",
            "fax_number": "330-455-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Cleveland Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447021805",
            "country_code": "US",
            "telephone_number": "330-455-0374",
            "fax_number": "330-455-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 W State St Ste M",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "44601",
            "country_code": "US",
            "telephone_number": "330-821-8407",
            "fax_number": "330-821-8506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISLIP",
        "first_name": "KYLEE",
        "middle_name": "N",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1901217",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1800691SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265937",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Raschell Crews
• Crisis Intervention and Recovery Center
• Crisis Intervention and Recovery Center, Inc.
• Crisis Intervention and Recovery Center, Inc.
• Crisis Intervention and Recovery Center, Inc.
• Phillip Crislip
• Christina Cristino, PA-C
• Cheryl Crites
• Megan Elizabeth Crites
• Ronald D Crock, MD

• Professional Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.