Active NPI
Crystal Kay Brill, MS, LPC
- Professional Counselor
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC05289
- Practice address
- 6400 S Lewis Ave Ste 100
Tulsa, OK 74136-1019 - Phone
- (405) 378-2727
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC05289 | OK | Primary |
| Mental Health Counselor | 101YM0800X | LPC05289 | OK |
Addresses
Primary practice location
6400 S Lewis Ave Ste 100
Tulsa, OK 74136-1019
Mailing address
6400 S Lewis Ave Ste 100
Tulsa, OK 74136-1019
Phone (405) 378-2727
Other names 1
- Ms. Crystal Kay Ransom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC05289 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients |
Locations
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526
Dept 1467
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Interoperability endpoints
- lifestancehealth.crystalbrill@148561.advancedmd-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Creek Nation Health System
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1063540680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 S LEWIS AVE STE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741361019",
"telephone_number": "405-378-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 S LEWIS AVE STE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741361019",
"telephone_number": "405-378-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILL",
"first_name": "CRYSTAL",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "LPC05289",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "LPC05289",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "RANSOM",
"middle_name": "KAY",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.