Caroline Crisol, M.S

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF65179 Issued in CA

Practice address

23504 Lyons Ave Ste 404
Newhall, CA 91321-5777

Phone

(661) 259-9439

NPI assigned

Jun 24, 2008

Last updated

Feb 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centro de Salud de la Comunidad de San Ysidro,Inc.Group PAC ID 6901709435, 291 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro de Salud de la Comunidad de San Ysidro, Inc.

  dba San Ysidro Health Precision Park

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1124782685
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Professional

  Medicare reassignment NPD
• Caroline M. Crisol, LMFT Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newhall, CA
  • NPI 1992368062
  NPD Authorized official
• Helping Hands Family Therapy Center Inc.

  • Mental Health Counselor
  • Newhall, CA
  • NPI 1174199038
  NPD Authorized official
• Centro de Salud de la Comunidad de San Ysidro Inc

  dba San Ysidro Health Senior Dental Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1457033813
  NPD
• Centro de Salud de la Comunidad de San Ysidro, Inc.

  dba San Diego PACE Chula Vista

  • PACE Provider Organization
  • Chula Vista, CA
  • NPI 1376195040
  NPD
• Child & Family Center

  • In Home Supportive Care Agency
  • Newhall, CA
  • NPI 1154762474
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1962663617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23504 LYONS AVE STE 404",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215777",
            "telephone_number": "661-259-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23504 LYONS AVE STE 404",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215777",
            "telephone_number": "661-259-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOL",
        "first_name": "CAROLINE",
        "name_prefix": "Miss",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF65179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cosgrove F.a.S.T. Systems Inc.
• Sara M Cote, LMFT
• Amanda Marie Cowan, BA
• Donald Ray Cowell, PH.D.
• Creative Connections Individual & Family Therapy, Inc. (Creative Wellness)
• Julie Ellen Criss-Hagerty, PH.D.
• Tracy L Cunningham, D.C.
• Frank J D'Ambrosio, P.T.
• Staci Deanna Daniels-Sommers, LCSW
• David a Tanner DDS Inc

• Marriage & Family Therapist in Newhall, CA
• Providers in Newhall, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.