Active NPI
Crystal Dawn Fonville, LMFT
- Marriage & Family Therapist
- Livingston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 203893
- Practice address
- 1629 US Highway 190 E
Livingston, TX 77351-4487 - Phone
- (936) 259-2119
- Fax
- (936) 286-3106
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 203893 | TX | Primary |
Addresses
Primary practice location
1629 US Highway 190 E
Livingston, TX 77351-4487
Mailing address
1629 US Highway 190 E
Livingston, TX 77351-4487
Phone (936) 259-2119
Other practice location 1
7045 Highway 75 S
Huntsville, TX 77340-7281
Phone (936) 291-5800 ext. 5842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1629 US Hwy 190 E
Livingston, TX 77351-4487
Phone (936) 259-2119
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Behavioral Healthcare | Current | Accepting new patients | |
| Serenity House Counseling, PLLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Marriage & Family Therapist | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151
706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
7045 Highway 75 S
Huntsville, TX 77340
Phone (936) 281-5800
3748 US Highway 59 N
Ste A
Livingston, TX 77352
Phone (936) 259-2119
Organizations & group practices 3
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.
-
- Professional Counselor
- Livingston, TX
- NPI 1568065142
-
- Multi-Specialty Clinic/Center
- Conroe, TX
- NPI 1851333074
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
Marriage & Family Therapist, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1073397162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 US HIGHWAY 190 E",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773514487",
"telephone_number": "936-259-2119",
"fax_number": "936-286-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 US HIGHWAY 190 E",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773514487",
"telephone_number": "936-259-2119",
"fax_number": "936-286-3106"
}
],
"practiceLocations": [
{
"address_1": "7045 Highway 75 S",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "TX",
"postal_code": "773407281",
"country_code": "US",
"telephone_number": "936-291-5800 x5842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FONVILLE",
"first_name": "CRYSTAL",
"middle_name": "DAWN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.