Active NPI
Malcolm Crenshaw, LPC
- Mental Health Counselor
- Columbus, OH
National Provider Identifier
1578057162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.2103176
- Practice address
- 495 E Main St
Columbus, OH 43215-5679 - Phone
- (614) 722-1800
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2103176 | OH | Primary |
Addresses
Primary practice location
495 E Main St
Columbus, OH 43215-5679
Mailing address
Dept 781625
Detroit, MI 48278-1625
Other practice location 1
765 Pierce Dr
Columbus, OH 43223-2425
Phone (614) 223-1650
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 |
|---|---|---|---|
| C.2103176 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1578057162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 781625",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155679",
"telephone_number": "614-722-1800"
}
],
"practiceLocations": [
{
"address_1": "765 Pierce Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432232425",
"country_code": "US",
"telephone_number": "614-223-1650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRENSHAW",
"first_name": "MALCOLM",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-18",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2103176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.