Crescent Early Intervention Services, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

CRESCENT EARLY INTERVENTION SERVICES, LLC

Practice address

809 Northwood St
Columbia, SC 29201-1533

Phone

(803) 467-2996

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Risley Linder, BCBANPI 1720600661

Title

Owner

Phone

(803) 467-2996

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Risley Linder Jr., BCBA

  • Behavior Analyst
  • Columbia, SC
  • NPI 1720600661
  Authorized official Same address or phone

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1407433303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5502",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292505502",
            "telephone_number": "803-467-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 NORTHWOOD ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011533",
            "telephone_number": "803-467-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT EARLY INTERVENTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "LINDER",
        "authorized_official_first_name": "RISLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-467-2996",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martia Lea Creighton Thigpen, D.C.
• Rusty Ryan Creighton
• Melinda Dumas Crenshaw, PH.D.
• Crescent Behavioral Health Services, LLC.
• Crescent Counseling Services, LLC
• Crescent Hospice, Inc.
• Crescent Moon Counseling, LLC
• Dylan Thomas Crew
• Anfel Adger Crews, APRN
• CRH Anesthesia of South Carolina LLC

• Early Intervention Provider Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.