Individual provider Active NPI

Debra Nicole Crysell, MS, ALC

  • Professional Counselor
  • Honoraville, AL
National Provider Identifier
1043031271
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
ALC05075 Issued in AL
Practice address
2277 Damascus Rd
Honoraville, AL 36042-5627
Phone
(334) 437-3983
NPI assigned
Oct 21, 2024
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ALC05075 AL
Professional Counselor 101YP2500X ALC05075 AL Primary

Addresses

Primary practice location

2277 Damascus Rd
Honoraville, AL 36042-5627

Mailing address

430 Greenville Byp
Greenville, AL 36037-3729
Phone (334) 437-3983

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 Science

State licenses

LicenseStateTypeSpecialty
ALC05075ALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1043031271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 GREENVILLE BYP",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373729",
            "telephone_number": "334-437-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 DAMASCUS RD",
            "city": "HONORAVILLE",
            "state": "AL",
            "postal_code": "360425627",
            "telephone_number": "334-437-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYSELL",
        "first_name": "DEBRA",
        "middle_name": "NICOLE",
        "credential": "MS, ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC05075",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "ALC05075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honoraville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.