Organization Active NPI

Crisis Recovery Network

  • Professional Counselor
  • Harrisburg, PA
National Provider Identifier
1710347513
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008745 Issued in PA
Legal business name
CRISIS RECOVERY NETWORK
Practice address
419 Radcliffe Dr
Harrisburg, PA 17109-5459
Phone
(718) 503-1309
NPI assigned
Mar 7, 2016
Last updated
Mar 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Kenneth Joseph Sutton, LPC, CAADCNPI 1154781862
Title
Professional Counselor
Phone
(718) 503-1309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008745 PA Primary

Addresses

Primary practice location

419 Radcliffe Dr
Harrisburg, PA 17109-5459

Mailing address

419 Radcliffe Dr
Harrisburg, PA 17109-5459
Phone (718) 503-1309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250930003980 PA Part B Supplier - Clinic/Group Practice 7113423047 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory

Locations

100 N Cameron St
Ste 304
Harrisburg, PA 17101
Phone (717) 839-3427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1710347513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 RADCLIFFE DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095459",
            "telephone_number": "718-503-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 RADCLIFFE DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095459",
            "telephone_number": "718-503-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS RECOVERY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "718-503-1309",
        "authorized_official_credential": "LPC, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.