Individual provider Active NPI

Crystal Robertson, MFTC

  • Marriage & Family Therapist
  • Lakewood, CO
National Provider Identifier
1083329494
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFTC.0014160 Issued in CO
Practice address
355 S Teller St Ste 200
Lakewood, CO 80226-7391
Phone
(303) 775-7920
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFTC.0014160 CO Primary

Addresses

Primary practice location

355 S Teller St Ste 200
Lakewood, CO 80226-7391

Mailing address

355 S Teller St Ste 200
Lakewood, CO 80226-7391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250430000441 CO Practitioner - Marriage and Family Therapist 9830612258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFTC.0014160COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Relationship Practice Marriage & Family Therapist CurrentSince Jan 7, 2025 Accepting new patients

Locations

355 S Teller St
Ste 200
Lakewood, CO 80226
Phone (303) 547-0743

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": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1083329494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S TELLER ST STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S TELLER ST STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267391",
            "telephone_number": "303-775-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CRYSTAL",
        "credential": "MFTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0014160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.