Individual provider Active NPI

Elizabeth Jill Croswell

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1700439338
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1100437 Issued in OH
Practice address
8035 Hosbrook Rd Ste 300
Cincinnati, OH 45236-2932
Phone
(513) 791-5990
Fax
(513) 792-3308
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1100437 OH Primary
Mental Health Counselor 101YM0800X C1100437 OH

Addresses

Primary practice location

8035 Hosbrook Rd Ste 300
Cincinnati, OH 45236-2932

Mailing address

1775 E McMillan St Apt 1
Cincinnati, OH 45206-2171
Phone (513) 722-5343

Other identifiers 1

IdentifierTypeStateIssuer
C1100437OtherOHSTATE LICENSE NUMBER

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
C1100437OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1700439338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E MCMILLAN ST APT 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062171",
            "telephone_number": "513-722-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 HOSBROOK RD STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362932",
            "telephone_number": "513-791-5990",
            "fax_number": "513-792-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSWELL",
        "first_name": "ELIZABETH",
        "middle_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C1100437",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1100437",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "C1100437",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.