Active NPI
Crystal Anne Kombol, M.ED.
- Counselor
- Snohomish, WA
National Provider Identifier
1023182250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC00056440
- Practice address
- 221 Avenue B
Snohomish, WA 98290-2840 - Phone
- (425) 349-7271
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00056440 | WA | Primary |
Addresses
Primary practice location
221 Avenue B
Snohomish, WA 98290-2840
Mailing address
1323 117TH Dr SE
Lake Stevens, WA 98258-8559
Phone (425) 334-0436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00056440 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Everett, WA
- NPI 1730136201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1023182250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 117TH DR SE",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982588559",
"telephone_number": "425-334-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 AVENUE B",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902840",
"telephone_number": "425-349-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMBOL",
"first_name": "CRYSTAL",
"middle_name": "ANNE",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00056440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.