Individual provider Active NPI

Crystal Sipe, LPCC-S

  • Professional Counselor
  • Newark, OH
National Provider Identifier
1710490362
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303636-SUPV Issued in OH
Practice address
59 Grant St
Newark, OH 43055-3939
Phone
(740) 349-7511
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2303636-SUPV OH Primary

Addresses

Primary practice location

59 Grant St
Newark, OH 43055-3939

Mailing address

12025 Parks Rd
New Concord, OH 43762-9734

Other practice location 1

400 E State St Ste D
Athens, OH 45701-1870
Phone (866) 534-2639

Other identifiers 1

IdentifierTypeStateIssuer
0264983MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240122000291 OH Practitioner - Mental Health Counselor 0345692760 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1700749OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Organics LLC CurrentSince Jan 1, 2026 Accepting new patients
Cognitive Organics LLC CurrentSince Jan 1, 2026 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Jan 1, 2024 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Jan 1, 2024 Accepting new patients
Ohio Family Counseling and Consultation, LLC Past Accepting new patients
Ohio Family Counseling and Consultation, LLC Past Accepting new patients

Locations

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

1801 Watermark Dr
Ste 200
Columbus, OH 43215

59 Grant St
Newark, OH 43055
Phone (740) 349-7511

2637 Tusky Valley Rd NE
Zoarville, OH 44656
Phone (330) 859-2213

Organizations & group practices 6

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1710490362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 PARKS RD",
            "city": "NEW CONCORD",
            "state": "OH",
            "postal_code": "437629734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GRANT ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553939",
            "telephone_number": "740-349-7511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E State St Ste D",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011870",
            "country_code": "US",
            "telephone_number": "866-534-2639",
            "fax_number": "800-480-7578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPE",
        "first_name": "CRYSTAL",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303636-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264983",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.