Organization Active NPI

Crystal Clear Counseling Center

  • Mental Health Counselor
  • Clarksville, TN
National Provider Identifier
1093421646
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CRYSTAL CLEAR COUNSELING CENTER
Practice address
130 Hillcrest Dr Ste 108
Clarksville, TN 37043-5064
Phone
(931) 201-9221
NPI assigned
Jan 26, 2023
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Crystal NyhusNPI 1922612027
Title
Owner
Phone
(919) 799-8130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

130 Hillcrest Dr Ste 108
Clarksville, TN 37043-5064

Mailing address

130 Hillcrest Dr Ste 108
Clarksville, TN 37043-5064
Phone (931) 201-9221

National Provider Directory

National Provider Directory

Locations

130 Hillcrest Dr
Ste 108
Clarksville, TN 37043
Phone (931) 201-9221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1093421646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HILLCREST DR STE 108",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435064",
            "telephone_number": "931-201-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HILLCREST DR STE 108",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435064",
            "telephone_number": "931-201-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "NYHUS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-799-8130"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.