Individual provider Active NPI

Crystal Lynn Longanecker, MA, MFT, LPC

  • Professional Counselor
  • Export, PA
National Provider Identifier
1053744409
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007079 Issued in PA
Practice address
1056 Corporate LN
Export, PA 15632-8905
Phone
(412) 639-9570
Fax
(724) 704-8164
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC007079PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Namaste Holistic Counseling PC Professional Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC007079 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1056 Corporate LN
Export, PA 15632-8905

Mailing address

1056 Corporate LN
Export, PA 15632-8905
Phone (412) 639-9570

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2017.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1053744409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 CORPORATE LN",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156328905",
            "telephone_number": "412-639-9570",
            "fax_number": "724-704-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 CORPORATE LN",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156328905",
            "telephone_number": "412-639-9570",
            "fax_number": "724-704-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGANECKER",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA, MFT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Export, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.