Individual provider Active NPI

Crystal McKenna, MS, LMHC, NCC, CCMHC

  • Mental Health Counselor
  • Exeter, NH
National Provider Identifier
1043766470
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH2012 Issued in NH
Practice address
24 Front St Ste 212
Exeter, NH 03833-2727
Phone
(207) 482-0640
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH2012 NH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH2012 NH

Addresses

Primary practice location

24 Front St Ste 212
Exeter, NH 03833-2727

Mailing address

830 Goodwin Rd
Eliot, ME 03903-1248
Phone (207) 482-0640

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH2012NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal McKenna Counseling, LLC Addiction (Substance Use Disorder) CurrentSince Jun 29, 2016 Accepting new patients
Crystal McKenna Counseling LLC Addiction (Substance Use Disorder) CurrentSince Jun 29, 2016 Accepting new patients

Locations

1645 Palm Beach Lakes Blvd
Ste 1200
West Palm Beach, FL 33401
Phone (561) 257-1877

24 Front St
Ste 212
Exeter, NH 03833
Phone (207) 482-0640

4 Franklin St
#C
Exeter, NH 03833

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": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1043766470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 GOODWIN RD",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "039031248",
            "telephone_number": "207-482-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FRONT ST STE 212",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332727",
            "telephone_number": "207-482-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "CRYSTAL",
        "credential": "MS, LMHC, NCC, CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "MH2012",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "MH2012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.