MEDICARE: ALEXIS R CRUMPLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C.2507647	OH

General Provider Information

NPI Number	:	1225994122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS R CRUMPLEY

Provider Business Mailing Address
First Line	:	104 NORTON PARK DR APT 324
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-3589
Country	:	US
Telephone Number	:	513-238-0441
Fax Number	:

Provider Business Practice Location Address
First Line	:	1161 BETHEL RD STE 124
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2773
Country	:	US
Telephone Number	:	855-591-0092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ ALEXIS R CRUMPLEY ” Practice Location

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