Active NPI
Michelle Linn Crim, IMF
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1437314051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMF 57141
- Practice address
- 2535 Kettner Blvd
Suite 1A4
San Diego, CA 92101-1250 - Phone
- (619) 615-0701
- Fax
- (619) 615-0705
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF 57141 | CA | Primary |
Addresses
Primary practice location
2535 Kettner Blvd
Suite 1A4
San Diego, CA 92101-1250
Mailing address
2535 Kettner Blvd
Suite 1A4
San Diego, CA 92101-1250
Phone (619) 615-0701
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 57141 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1437314051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 KETTNER BLVD",
"address_2": "SUITE 1A4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011250",
"telephone_number": "619-615-0701",
"fax_number": "619-615-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 KETTNER BLVD",
"address_2": "SUITE 1A4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011250",
"telephone_number": "619-615-0701",
"fax_number": "619-615-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIM",
"first_name": "MICHELLE",
"middle_name": "LINN",
"credential": "IMF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF 57141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.