Active NPI
Phillip Crislip
- Peer Specialist
- Canton, OH
National Provider Identifier
1487580163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- PRS.007997
- Practice address
- 131 Wertz Ave NW
Canton, OH 44708-4171 - Phone
- (234) 214-8470
- NPI assigned
- Jun 22, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | PRS.007997 | OH | Primary |
Addresses
Primary practice location
131 Wertz Ave NW
Canton, OH 44708-4171
Mailing address
131 Wertz Ave NW
Canton, OH 44708-4171
Phone (234) 214-8470
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1487580163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 WERTZ AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447084171",
"telephone_number": "234-214-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 WERTZ AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447084171",
"telephone_number": "234-214-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISLIP",
"first_name": "PHILLIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "PRS.007997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
- Crisis Intervention and Recovery Center
- Crisis Intervention and Recovery Center, Inc.
- Crisis Intervention and Recovery Center, Inc.
- Crisis Intervention and Recovery Center, Inc.
- Kylee N Crislip, LPCC-S
- Christina Cristino, PA-C
- Cheryl Crites
- Megan Elizabeth Crites
- Ronald D Crock, MD
- Michael Crofford, LPC, MED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.