Melissa Kathryn Crips

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH25814 Issued in FL

Practice address

306 W Sadie St
Brandon, FL 33510-4440

Phone

(813) 438-5949

Fax

(813) 438-5949

NPI assigned

Nov 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Camille Mabin, LCSW LLC

  • Clinical Social Worker
  • Brandon, FL
  • NPI 1083243653
  NPD

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1871316315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SADIE ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104440",
            "telephone_number": "813-438-5949",
            "fax_number": "813-438-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SADIE ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104440",
            "telephone_number": "813-438-5949",
            "fax_number": "813-438-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIPS",
        "first_name": "MELISSA",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Creighton III, MS, CF-SLP
• Crescent Respite Care Inc
• Lisa Crespo, APRN
• Tisha Crespo
• Jessica Lauren Cripe, SLP
• Maureen Ann Cristal
• Cristina Balsera M.D. P.a.
• Marsha Cromuel
• Laura K Crook, CRNA
• Warren A Crooks, M.D.

• Mental Health Counselor in Brandon, FL
• Providers in Brandon, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.