Crisara Creative Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

9555 Issued in CA

Legal business name

CRISARA CREATIVE THERAPY, LLC

Practice address

7000 Franklin Boulevard
Suite 350
Sacramento, CA 95823-1839

Phone

(916) 422-8862

Fax

(916) 422-2050

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ava Jean Williams, MS, BCPCNPI 1154312239

Title

Ceo/Director of Counseling

Phone

(916) 422-8862

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ava Jean Williams, MS, BCPC

  • Professional Counselor
  • Sacramento, CA
  • NPI 1154312239
  NPD (past) Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1992724934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581748",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957580030",
            "telephone_number": "916-422-8862",
            "fax_number": "916-422-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 FRANKLIN BOULEVARD",
            "address_2": "SUITE 350",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231839",
            "telephone_number": "916-422-8862",
            "fax_number": "916-422-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISARA CREATIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO/DIRECTOR OF COUNSELING",
        "authorized_official_telephone_number": "916-422-8862",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, BCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "9555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL GSA/FSS",
            "identifier": "V797P-7015A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF TRANSPORTATION",
            "identifier": "31474",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/BLUE CROSS",
            "identifier": "ZZZ67877Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPUC",
            "identifier": "6DN00022",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas J Crill, APRN
• Marie Louise Crim, LCSW
• Ashley Nicole Crimmins
• David Jason Crippen, D.D.S.
• Brianna Crisanty
• David Anthony Crisosto Jr.
• Suerte Valdez Crisostomo
• Kimberly Sue Crisp
• Kristin Criste, COTA
• Alexis M Cristiano, MD

• Community/Behavioral Health Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.