Active NPI
Crystal Lougin, LPC
- Professional Counselor
- Fort Smith, AR
National Provider Identifier
1083725519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P0512071
- Practice address
- 5101 Old Greenwood Rd Ste 108
Fort Smith, AR 72903-6913 - Phone
- (479) 461-7767
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P0512071 | AR | |
| Professional Counselor | 101YP2500X | P0512071 | AR | Primary |
Addresses
Primary practice location
5101 Old Greenwood Rd Ste 108
Fort Smith, AR 72903-6913
Mailing address
3201 S 97TH St
Fort Smith, AR 72903-5709
Phone (479) 461-7767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5A106 | Other | AR | BLUE CROSS |
| 06110013600 | Other | AR | QUALCHOICE |
Other names 1
- Miss Crystal Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0512071 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Friends Counseling and Consulting | Mental Health | Current | Accepting new patients |
Locations
5101 Old Greenwood Rd
Ste 108
Fort Smith, AR 72903
Phone (479) 461-7767
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Fort Smith, AR
- NPI 1962019604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601164800000",
"number": "1083725519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 S 97TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035709",
"telephone_number": "479-461-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 OLD GREENWOOD RD STE 108",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729036913",
"telephone_number": "479-461-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUGIN",
"first_name": "CRYSTAL",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2020-09-27",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P0512071",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P0512071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5A106",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "06110013600",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "LEWIS",
"prefix": "MISS",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.