Heidi Lynn Crispin, LPC, LMFT ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5184 Issued in OR

Practice address

8995 SW Miley Rd Ste 103
Wilsonville, OR 97070-5485

Phone

(503) 951-7990

Fax

(503) 785-9993

NPI assigned

Oct 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crispin Counseling LLC

  • Adult Mental Health Clinic/Center
  • Wilsonville, OR
  • NPI 1326685157
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1457801847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24935 NE PRAIRIE VIEW DR",
            "city": "AURORA",
            "state": "OR",
            "postal_code": "97002",
            "telephone_number": "503-951-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 SW MILEY RD STE 103",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705485",
            "telephone_number": "503-951-7990",
            "fax_number": "503-785-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISPIN",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMFT ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylinn Cowan
• Joshua Cox
• Madison Cox
• Amy Louise Crandall, RN
• Crispin Counseling LLC
• Crossroads Treatment & Counseling Services, Inc
• Ma. Ricca Cuenca
• Gabriel P Currie, M.D.
• Stephen R Curtiss
• Michael John Cusack

• Mental Health Counselor in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.