Individual provider Active NPI

Joan E. McCullough-Crissman, LPC

  • Mental Health Counselor
  • Murrysville, PA
National Provider Identifier
1659368157
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4578 William Penn Hwy
Murrysville, PA 15668-2002
Phone
(724) 972-6409
Fax
(724) 519-8463
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4578 William Penn Hwy
Murrysville, PA 15668-2002

Mailing address

189 Tollgate Hill Rd
Greensburg, PA 15601-6206
Phone (724) 972-6409

Other names 1

  • Joan E. McCullough Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240420000052 PA Practitioner - Mental Health Counselor 4284082454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Counseling, LLC Mental Health CurrentSince Jan 1, 2014 Accepting new patients

Locations

100 Pennsylvania Ave
Irwin, PA 15642
Phone (724) 863-1204

4578 William Penn Hwy
Murrysville, PA 15668
Phone (724) 972-6409

Organizations & group practices 1

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1659368157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 TOLLGATE HILL RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016206",
            "telephone_number": "724-972-6409",
            "fax_number": "724-519-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156682002",
            "telephone_number": "724-972-6409",
            "fax_number": "724-519-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH-CRISSMAN",
        "first_name": "JOAN",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "MCCULLOUGH",
            "middle_name": "E.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrysville, PA

Sources for this page

Verify at the official NPI Registry.