Individual provider Active NPI

Crystal West, LMFT

  • Marriage & Family Therapist
  • Bishop, CA
National Provider Identifier
1124543186
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT125040 Issued in CA
Practice address
212 Grove St
Bishop, CA 93514-2620
Phone
(760) 872-2418
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 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 LMFT125040 CA Primary

Addresses

Primary practice location

212 Grove St
Bishop, CA 93514-2620

Mailing address

212 Grove St
Bishop, CA 93514-2620
Phone (760) 872-2418

Other practice location 1

2318 Wilson Cir
Bishop, CA 93514-7604
Phone (760) 872-2418

Other names 1

  • Crystal Cox Former name

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

LicenseStateTypeSpecialty
LMFT125040CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal a. West CurrentSince Apr 1, 2023 Accepting new patients

Locations

212 Grove St
Bishop, CA 93514
Phone (760) 872-2418

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1124543186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 GROVE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142620",
            "telephone_number": "760-872-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 GROVE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142620",
            "telephone_number": "760-872-2418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2318 Wilson Cir",
            "address_purpose": "LOCATION",
            "city": "Bishop",
            "state": "CA",
            "postal_code": "935147604",
            "country_code": "US",
            "telephone_number": "760-872-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "CRYSTAL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT125040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "COX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bishop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.