Thomas W Crissman, M.A., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009519 Issued in PA

Practice address

840 Wood St
Clarion, PA 16214-1240

Phone

(724) 787-3365

Fax

(724) 787-3365

NPI assigned

Jun 14, 2017

Last updated

Jun 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1437689304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 S 7TH AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141514",
            "telephone_number": "724-787-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WOOD ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141240",
            "telephone_number": "724-787-3365",
            "fax_number": "724-787-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISSMAN",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "M.A., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Clarion, PA
• Providers in Clarion, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.