Individual provider Active NPI

Nikita Kay Crissinger, MS-CMHC, LPC

  • Mental Health Counselor
  • Norfolk, VA
National Provider Identifier
1992573745
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704014955 Issued in VA
Practice address
7870 Tidewater Dr. Suite 206 #255
Norfolk, VA 23505-3713
Phone
(757) 910-8086
NPI assigned
Dec 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704014955 VA Primary

Addresses

Primary practice location

7870 Tidewater Dr. Suite 206 #255
Norfolk, VA 23505-3713

Mailing address

7870 Tidewater Dr. Suite 206 #255
Norfolk, VA 23505-3713
Phone (757) 910-8086

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

LicenseStateTypeSpecialty
0704014955VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Misfits Psycho Therapist Mental Health Current Accepting new patients

Locations

7870 Tidewater Dr
Ste 206
Norfolk, VA 23505
Phone (757) 271-9030

249 Central Park Ave
Ste 300
Virginia Beach, VA 23462
Phone (540) 529-8616

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.

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1992573745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870 TIDEWATER DR. SUITE 206 #255",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053713",
            "telephone_number": "757-910-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 TIDEWATER DR. SUITE 206 #255",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053713",
            "telephone_number": "757-910-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISSINGER",
        "first_name": "NIKITA",
        "middle_name": "KAY",
        "credential": "MS-CMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.