Individual provider Active NPI

Laryssa M Creswell, MT-BC, LCPC, LPC,ACS

  • Mental Health Counselor
  • Annapolis, MD
National Provider Identifier
1427513209
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC6298 Issued in MD
Practice address
139 Old Solomons Island Road
Suite F
Annapolis, MD 21401-1898
Phone
(301) 750-1065
NPI assigned
Feb 5, 2019
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC6298 MD Primary
Music Therapist 225A00000X

Addresses

Primary practice location

139 Old Solomons Island Road
Suite F
Annapolis, MD 21401-1898

Mailing address

139 Old Solomons Island Road
Suite F
Annapolis, MD 21401-9215
Phone (301) 750-1065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC6298MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fearlessly Inspired Therapeutic Solutions, LLC Music Therapist CurrentSince Dec 1, 2022 Accepting new patients

Locations

139 Old Solomons Island Rd
Ste F
Annapolis, MD 21401
Phone (301) 750-1065

153 Mayo Rd
Edgewater, MD 21037

153 Mayo Rd
Ste 203A
Edgewater, MD 21037

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1427513209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 OLD SOLOMONS ISLAND ROAD",
            "address_2": "SUITE F",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214019215",
            "telephone_number": "301-750-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 OLD SOLOMONS ISLAND ROAD",
            "address_2": "SUITE F",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011898",
            "telephone_number": "301-750-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESWELL",
        "first_name": "LARYSSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MT-BC, LCPC, LPC,ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC6298",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • 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.