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Kylee N Crislip , LPCC-S

Counselor - Professional β€’ Canton, OH

Active NPI 1396296364 Individual Practitioner Female Practitioner
Practice location in NPPES

625 Cleveland Ave Nw
Canton, OH 447021805

Call 3304550374 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

625 Cleveland Ave Nw

Canton, OH 447021805

Telephone 3304550374
Fax 3304552101
Organization at the Same NPPES Address or Phone
Commquest Services, Inc. Facility NPI 1730168311

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Alliance, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kylee Crislip has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kylee Crislip as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Canton and Ohio

312 active clinicians are listed under Counselor - Professional with a practice address in Canton, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

2.9% of these 312 clinicians have the CMS telehealth indicator.

12.8% of these 312 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-12-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E1800691SUPV
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E1901217
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0265937 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240102001371

Enrollment State Jurisdiction

OH

PECOS Control ID

0749630887

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

1207 W State St Ste M

Alliance, OH 44601

Phone: 3308218407

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Denise Hecht-Hewit , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366708976

Certified Nurse Practitioner

Dr. Osamuedemen Iyoha , MD

Psychiatry & Neurology - Psychiatry

NPI 1144616079

Doctor of Medicine (M.D.)

Dr. Krishnan Sivaram , MD

Psychiatry & Neurology - Psychiatry

NPI 1144293176

Doctor of Medicine (M.D.)

Douglas Stevens , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013474824

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location December 18, 2020

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

πŸ‘€
Provider Name / Credentials Updated December 18, 2020

Recorded as KYLEE CRISLIP, LPCC-S

πŸ“
Updated Practice Location May 17, 2019

Registered at 1207 W STATE ST STE M, ALLIANCE, OH 44601 (Tel: 3308218407)

πŸ‘€
Provider Name / Credentials Updated May 17, 2019

Recorded as KYLEE CRISLIP, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2019

Counselor (license number reported to NPPES: OH E1901217)

βœ…
NPI Profile Active October 14, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 14, 2016

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

πŸ“
Business Mailing Address (Initial Record) October 14, 2016

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

πŸ‘€
Provider Name / Credentials (Initial Record) October 14, 2016

Recorded as KYLEE CRISLIP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2016

Counselor (license number reported to NPPES: OH C.1500670)

🟒
Initial NPI Registration & Enumeration October 14, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396296364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2016
Last Update: December 18, 2020
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.