Individual provider Active NPI

Holly Danielle Krismanick, LPCC

  • Counselor
  • Cincinnati, OH
National Provider Identifier
1528577905
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.1700418 Issued in OH
Practice address
5200 Aldine Dr.
Cincinnati, OH 45242
Phone
(513) 686-1756
Fax
(513) 792-6172
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.1700418 OH Primary

Addresses

Primary practice location

5200 Aldine Dr.
Cincinnati, OH 45242

Mailing address

5200 Aldine Dr.
Cincinnati, OH 45242
Phone (513) 686-1756

Other practice location 1

2825 Burnet Ave
Floor 4
Cincinnati, OH 45219
Phone (513) 558-5945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240610003845 OH Practitioner - Mental Health Counselor 1153863774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1700418OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Clinic Outpatient Services Mental Health CurrentSince Mar 23, 2024 Accepting new patients
Central Clinic Inc Mental Health Access Point Mental Health Current Accepting new patients
Central Clinic Outpatient Services Mental Health CurrentSince Mar 23, 2024 Accepting new patients

Locations

2825 Burnet Ave
Fl 4
Cincinnati, OH 45219
Phone (513) 558-5857

2825 Burnet Ave
Cincinnati, OH 45219
Phone (513) 221-0527

311 Albert Sabin Way
Cincinnati, OH 45229
Phone (513) 558-5823

Organizations & group practices 3

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1528577905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 ALDINE DR.",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-686-1756",
            "fax_number": "513-792-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 ALDINE DR.",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-686-1756",
            "fax_number": "513-792-6172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Burnet Ave",
            "address_2": "Floor 4",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45219",
            "country_code": "US",
            "telephone_number": "513-558-5945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISMANICK",
        "first_name": "HOLLY",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1700418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.