Active NPI
Monica Crimmins, LICDC-S
- Addiction (Substance Use Disorder) Counselor
- Marion, OH
National Provider Identifier
1487010633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.161483
- Practice address
- 570 N Main
Marion, OH 43302 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.161483 | OH | Primary |
Addresses
Primary practice location
570 N Main
Marion, OH 43302
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1459
Phone (513) 834-7063
Other practice location 1
2450 N Reynolds Rd
Toledo, OH 43615-2841
Phone (419) 535-3214 ext. 201
Other practice location 2
6605 W Central Ave
Toledo, OH 43617-1000
Phone (419) 841-7701 ext. 4073
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 |
|---|---|---|---|
| LICDC.161483 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1487010633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021459",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 N MAIN",
"city": "MARION",
"state": "OH",
"postal_code": "43302",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
}
],
"practiceLocations": [
{
"address_1": "2450 N Reynolds Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436152841",
"country_code": "US",
"telephone_number": "419-535-3214 x201",
"fax_number": "419-535-6794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6605 W Central Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436171000",
"country_code": "US",
"telephone_number": "419-841-7701 x4073",
"fax_number": "419-321-6830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRIMMINS",
"first_name": "MONICA",
"credential": "LICDC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-04",
"last_updated": "2022-07-21",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.161483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.