KYLEE N CRISLIP LPCC-S
NPI 1396296364
Counselor - Professional in Canton, OH

Q: What is Kylee Crislip's NPI number?

The NPI number for Kylee Crislip is 1396296364. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Q: What is Kylee Crislip's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kylee Crislip was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2016PECOS EnrolledAccepts Medicare Assignment

625 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 455-2101 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 18, 2020, May 17, 2019, Oct 14, 2016 (3 updates tracked since 2016).

On this page

About Kylee N Crislip Lpcc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLEE N CRISLIP LPCC-S (NPI 1396296364) is an individual professional provider in Canton, Ohio, licensed in Ohio (E1800691SUPV) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396296364

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKYLEE N CRISLIPCredential: LPCC-S

Location Address625 CLEVELAND AVE NWCanton, OH 44702-1805

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 455-2101

Phone(330) 455-0374

Fax(330) 455-2101

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 14, 2016

Last NPPES UpdateDecember 18, 20203 updates tracked since enumeration

NPPES CertifiedDecember 18, 2020

✔ NPI 1396296364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in OH · E1800691SUPV✔ Licensed in OH · E1901217

625 CLEVELAND AVE NW, Canton, OH 44702

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1625 Cleveland Ave NWCanton, OH 44702-1805 · Phone (330) 455-0374 · Fax (330) 455-2101

Location 21207 W State St Ste MAlliance, OH 44601 · Phone (330) 821-8407 · Fax (330) 821-8506

Other Identifiers 1

Medicaid0265937OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kylee N Crislip Lpcc-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749630887

PECOS Enrollment IDI20240102001371

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS KEVIN STEVENS CNP

Nurse Practitioner (Psychiatric/Mental Health)