Active NPI
John Bryan Crusius, LPC
- Mental Health Counselor
- Richardson, TX
National Provider Identifier
1952970774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 62107
- Practice address
- 1001 Hampshire LN Ste 400
Richardson, TX 75080-5143 - Phone
- (214) 893-7922
- NPI assigned
- Jun 24, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 62107 | TX | Primary |
Addresses
Primary practice location
1001 Hampshire LN Ste 400
Richardson, TX 75080-5143
Mailing address
PO Box 831544
Richardson, TX 75083-1544
Phone (214) 893-7922
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 |
|---|---|---|---|
| 62107 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1952970774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 831544",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750831544",
"telephone_number": "214-893-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HAMPSHIRE LN STE 400",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805143",
"telephone_number": "214-893-7922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUSIUS",
"first_name": "JOHN",
"middle_name": "BRYAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "62107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.