Individual provider Active NPI

Jennifer Crispo, LMFT

  • Marriage & Family Therapist
  • Rio Rancho, NM
National Provider Identifier
1497032072
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CTB-2022-0715 Issued in NM
Practice address
2300 Grande Blvd SE Ste a
Rio Rancho, NM 87124-1755
Phone
(505) 896-0928
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Marriage & Family Therapist 106H00000X CTB-2022-0715 NM Primary

Addresses

Primary practice location

2300 Grande Blvd SE Ste a
Rio Rancho, NM 87124-1755

Mailing address

184 Unser Blvd NE
Rio Rancho, NM 87124-4045
Phone (505) 896-0928

Other practice location 1

175 Middle St Unit 1201
Lake Mary, FL 32746-3625
Phone (866) 610-0580

Other practice location 2

7027 Montgomery Blvd NE
Ste F
Albuquerque, NM 87109-1589
Phone (505) 880-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240415003654 NM Practitioner - Marriage and Family Therapist 4880033448 Reassigns benefits to 1 organization
I20260421003124 WA Practitioner - Marriage and Family Therapist 4880033448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians
Presbyterian Medical ServicesGroup PAC ID 2062324684, shared by 35 NPIs, 132 clinicians

Practice addresses (Care Compare)

1515 Dexter Ave N
Seattle, WA 98109-3017
Phone (240) 200-0173

2300 Grande Blvd SE
Rio Rancho, NM 87124-1636
Phone (505) 896-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2022-0715NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services Marriage & Family Therapist CurrentSince Feb 20, 2024 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services CurrentSince Feb 20, 2024 Accepting new patients

Locations

184 Unser Blvd NE
Rio Rancho, NM 87124
Phone (505) 896-0928

2300 Grande Blvd SE
Ste A
Rio Rancho, NM 87124
Phone (505) 896-0928

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1497032072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 UNSER BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244045",
            "telephone_number": "505-896-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GRANDE BLVD SE STE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241755",
            "telephone_number": "505-896-0928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Middle St Unit 1201",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327463625",
            "country_code": "US",
            "telephone_number": "866-610-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7027 Montgomery Blvd NE",
            "address_2": "STE F",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091589",
            "country_code": "US",
            "telephone_number": "505-880-0100",
            "fax_number": "505-880-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISPO",
        "first_name": "JENNIFER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB-2022-0715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.