Individual provider Active NPI

Crystal Younger

  • Professional Counselor
  • Covington, LA
National Provider Identifier
1003540139
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1016 1/2 W 21St Ave
Covington, LA 70433-7443
Phone
(985) 276-4165
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Counselor 101Y00000X 2918 LA

Addresses

Primary practice location

1016 1/2 W 21St Ave
Covington, LA 70433-7443

Mailing address

PO Box 1152
Mandeville, LA 70470-1152
Phone (985) 200-3999

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.truefreedom.team Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807002789 LA Practitioner - Mental Health Counselor 7719424811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19344 N 10TH St
Covington, LA 70433-8877
Phone (985) 276-4165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2918LAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Truefreedom Recovery Center Professional CurrentSince Jun 19, 2024 Accepting new patients
Truefreedom Recovery Center CurrentSince Jun 6, 2022 Accepting new patients

Locations

1016 W 21st Ave
Covington, LA 70433
Phone (985) 249-6169

19344 N 10th St
Covington, LA 70433
Phone (985) 276-4165

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1003540139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1152",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701152",
            "telephone_number": "985-200-3999",
            "fax_number": "985-400-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 1/2 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337443",
            "telephone_number": "985-276-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGER",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "2918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.truefreedom.team",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1016 1/2 W 21st Ave",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704337443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.