Individual provider Active NPI

Christine Crimmins, LGPC

  • Professional Counselor
  • Severna Park, MD
National Provider Identifier
1679395685
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP15781 Issued in MD
Practice address
815 Ritchie Hwy Ste 205
Severna Park, MD 21146-4164
Phone
(443) 367-1333
NPI assigned
Oct 30, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC.0022742 CO
Professional Counselor 101YP2500X LGPC200001897 DC
Professional Counselor 101YP2500X LGP15781 MD Primary

Addresses

Primary practice location

815 Ritchie Hwy Ste 205
Severna Park, MD 21146-4164

Mailing address

204 Saint Charles Way Unit E, Box 372
York, PA 17402-4646
Phone (443) 367-1333

Other practice location 1

30 E Padonia Rd Ste 202
Lutherville Timonium, MD 21093-2308
Phone (443) 367-1333

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

LicenseStateTypeSpecialty
LPCC.0022742COMDProfessional Counselor
LGPC200001897DCMDProfessional Counselor
LGP15781MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Health Wellness Group LLC Professional CurrentSince Nov 3, 2024 Accepting new patients

Locations

815 Ritchie Hwy
Ste 205
Severna Park, MD 21146
Phone (443) 261-5376

30 E Padonia Rd
Ste 202
Timonium, MD 21093
Phone (410) 525-5333

204 Saint Charles Way
Unit E
York, PA 17402

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": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1679395685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SAINT CHARLES WAY UNIT E, BOX 372",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024646",
            "telephone_number": "443-367-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 RITCHIE HWY STE 205",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464164",
            "telephone_number": "443-367-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E Padonia Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lutherville Timonium",
            "state": "MD",
            "postal_code": "210932308",
            "country_code": "US",
            "telephone_number": "443-367-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIMMINS",
        "first_name": "CHRISTINE",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-10-30",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0022742",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "LGPC200001897",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP15781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.