Jessica Creidler, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC016035 Issued in PA

Practice address

312 Hyde Park
Doylestown, PA 18902-6605

Phone

(215) 345-5083

NPI assigned

Nov 30, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in PA

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, 2020

Medicare assignment

May accept Medicare assignment

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.

• Moodrx LLC

  • Professional Counselor
  • Wayne, PA
  • NPI 1912735267

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1508632506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 ELEPHANT RD APT B22",
            "city": "DUBLIN",
            "state": "PA",
            "postal_code": "189172218",
            "telephone_number": "215-622-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HYDE PARK",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026605",
            "telephone_number": "215-345-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREIDLER",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Coyne
• Veronica E Coyne, MD
• Erica Crane
• Heather Craney, LPC
• Ann Marie Crawford, M.A.
• William Joseph Crielly Jr., DMD
• Samuel Franklin Crino, CRNP
• Theodore Philip Croll, D.D.S.
• Joan Gregg Cronise, PH.D.
• Lora A Crowley, CRNP

• Mental Health Counselor in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.