Active NPI
Chelsie Crilly, LMFT
- Marriage & Family Therapist
- Lafayette, CA
National Provider Identifier
1750952032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT147955
- Practice address
- 3641 Mt Diablo Blvd Unit 446
Lafayette, CA 94549-6110 - Phone
- (510) 767-0764
- NPI assigned
- Jul 7, 2021
- Last updated
- Oct 19, 2024
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT147955 | CA | Primary |
Addresses
Primary practice location
3641 Mt Diablo Blvd Unit 446
Lafayette, CA 94549-6110
Mailing address
3641 Mt Diablo Blvd Unit 446
Lafayette, CA 94549-6110
Phone (510) 767-0764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750952032 | Other | CA | NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT147955 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelsie Crilly Family Counseling Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Therathrive Counseling, Assessment, and Wellness Centers, a Profession | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chelsie Crilly Counseling
- Marriage & Family Therapist
- Lafayette, CA
- NPI 1366255184
-
dba TheraThrive
- Professional Counselor
- Lafayette, CA
- NPI 1760993562
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729296000000",
"number": "1750952032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3641 MT DIABLO BLVD UNIT 446",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945496110",
"telephone_number": "510-767-0764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3641 MT DIABLO BLVD UNIT 446",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945496110",
"telephone_number": "510-767-0764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRILLY",
"first_name": "CHELSIE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "U",
"enumeration_date": "2021-07-07",
"last_updated": "2024-10-19",
"certification_date": "2024-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT147955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1750952032",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.