Active NPI
Brian Crim, LMFT
- Marriage & Family Therapist
- Hudson, WI
National Provider Identifier
1811375314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1016-124
- Practice address
- 901 Dominion Dr
Hudson, WI 54016-9326 - Phone
- (715) 531-6760
- Fax
- (715) 531-6761
- NPI assigned
- May 15, 2015
- Sex
- Male
- 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 | 1016-124 | WI | Primary |
Addresses
Primary practice location
901 Dominion Dr
Hudson, WI 54016-9326
Mailing address
511 6TH St
Hudson, WI 54016-1701
Phone (715) 410-5822
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 |
|---|---|---|---|
| 1016-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adulteen Counseling, LLC | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- River Falls, WI
- NPI 1174973366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1811375314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 6TH ST",
"city": "HUDSON",
"state": "WI",
"postal_code": "540161701",
"telephone_number": "715-410-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 DOMINION DR",
"city": "HUDSON",
"state": "WI",
"postal_code": "540169326",
"telephone_number": "715-531-6760",
"fax_number": "715-531-6761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIM",
"first_name": "BRIAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-15",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "1016-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.