Individual provider Active NPI

Crystal G Lombardi, LMHC

  • Mental Health Counselor
  • Middletown, NY
National Provider Identifier
1083168355
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
466 E. Main Street
Bavoy Mental Health Counseling, PLLC
Middletown, NY 10940-2516
Phone
(845) 843-6400
Fax
(845) 421-6804
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

466 E. Main Street
Bavoy Mental Health Counseling, PLLC
Middletown, NY 10940-2516

Mailing address

466 E. Main Street
Bavoy Mental Health Counseling, PLLC
Middletown, NY 10940-2516
Phone (845) 843-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723004131 NY Practitioner - Mental Health Counselor 2769998871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be a Version of Yourself Mental Health Counseling, PLLCGroup PAC ID 6002217551, 2 clinicians

Practice addresses (Care Compare)

466 E Main St
Middletown, NY 10940-2534
Phone (845) 843-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010846NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Be a Version of Yourself Mental Health Counseling, PLLC Mental Health CurrentSince Jul 18, 2025 Accepting new patients

Locations

466 E Main St
Ste 2
Middletown, NY 10940

466 E Main St
Middletown, NY 10940
Phone (845) 843-6400

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.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1083168355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 E. MAIN STREET",
            "address_2": "BAVOY MENTAL HEALTH COUNSELING, PLLC",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402516",
            "telephone_number": "845-843-6400",
            "fax_number": "845-421-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 E. MAIN STREET",
            "address_2": "BAVOY MENTAL HEALTH COUNSELING, PLLC",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402516",
            "telephone_number": "845-843-6400",
            "fax_number": "845-421-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDI",
        "first_name": "CRYSTAL",
        "middle_name": "G",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.