Crisis Intervention and Recovery Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I0800333 Issued in OH

Legal business name

CRISIS INTERVENTION AND RECOVERY CENTER

Practice address

832 McKinley Ave NW
Canton, OH 44703-2463

Phone

(330) 455-9407

Fax

(330) 430-1288

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bernard S Jesiolowski, PHD, PCCS

Title

Executive Director

Phone

(330) 452-9812

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1760634810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032463",
            "telephone_number": "330-455-9407",
            "fax_number": "330-430-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032463",
            "telephone_number": "330-455-9407",
            "fax_number": "330-430-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS INTERVENTION AND RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "JESIOLOWSKI",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-452-9812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD, PCCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "061039",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I0800333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina L. Crawford, NON BA, QMHS
• Andrea Crayden, MSW, LISW-S
• Nicole Crewes, PT, DPT
• Benjamin Lee Crews, DO
• Courtney Raschell Crews
• Crisis Intervention and Recovery Center, Inc.
• Crisis Intervention and Recovery Center, Inc.
• Crisis Intervention and Recovery Center, Inc.
• Kylee N Crislip, LPCC-S
• Phillip Crislip

• All providers in Canton, OH
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.