Crystal June Carson, M.S.; LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011621 Issued in PA

Practice address

503 Floral Vale Blvd
Yardley, PA 19067

Phone

(215) 497-0240

NPI assigned

Aug 19, 2019

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cepd Management Services, Inc.

  • Psychologist
  • Yardley, PA
  • NPI 1720118136
  NPD
• Compassion Tree Therapy LLC

  • Community/Behavioral Health Agency
  • Broomall, PA
  • NPI 1568272813
  NPD (past)
• Therapy for Success

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1568860443
  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1093362667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KNOCK N KNOLL CIR",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901924",
            "telephone_number": "215-272-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "19067",
            "telephone_number": "215-497-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "CRYSTAL",
        "middle_name": "JUNE",
        "credential": "M.S.; LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "503 Floral Vale Blvd",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Larry Caldwell, MA
• Carmen David Campanelli Jr., M.D.
• Capstone Behavioral Associates Inc.
• Carl J. Mattia, D.P.M., L.L.C.
• Bradley Caro, DO
• Danielle Lauren Carson, PA
• Eddie Carvajal
• Michael Mark Castor Sr., D.C
• William Castro, PHD
• Cautilli Orthopaedic Surgical Specialists, PC

• Professional Counselor in Yardley, PA
• Providers in Yardley, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.

Verify at the official NPI Registry.