Crystal Joann Mosby, L.L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401006613 Issued in MI

Practice address

27601 Morningside PLZ
Lathrup Village, MI 48076-3266

Phone

(313) 706-6306

NPI assigned

Feb 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life'S Journeys LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
  • NPI 1033867254
  NPD Authorized official
• Life'S Journeys LLC

  • Mental Health Counselor
  • Southfield, MI
  • NPI 1205420429
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1033415062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27601 MORNINGSIDE PLZ",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763266",
            "telephone_number": "313-706-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27601 MORNINGSIDE PLZ",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763266",
            "telephone_number": "313-706-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBY",
        "first_name": "CRYSTAL",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "L.L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakisha Michelle Moore
• Angel Antoinette Morris, REGISTERED NURSE
• Rizwan Mufti, M.D.
• Mikhail Muhammad, DPT
• Muksi, LLC
• My Place Home Health Care
• Nanal Incorporated

• Professional Counselor in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.