Crystal Creek Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0012668 Issued in CO

Legal business name

CRYSTAL CREEK COUNSELING

Practice address

400 W Midland Ave
Woodland Park, CO 80863-3144

Phone

(719) 640-5344

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Jerilyn Yingling, LPC

Title

Owner/Clinician

Phone

(719) 686-6703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1124553102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "address_2": "11120 PUEBLO AVE",
            "city": "GREEN MOUNTAIN FALLS",
            "state": "CO",
            "postal_code": "808190094",
            "telephone_number": "719-640-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633144",
            "telephone_number": "719-640-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CREEK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "YINGLING",
        "authorized_official_first_name": "JERILYN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "719-686-6703",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Thomas Conlin, DPT
• Shauna Connors
• Julie A Conyers, MD
• Lisa M Corley, PA-C
• Kandi Coyle
• Crystal Creek Counseling , PC Inc.
• CS Colorado Clinics LLC
• Cummings Vision Care PC
• Thomas W Cummings, OD
• Michael Patric Damelio, PHARMD

• All providers in Woodland Park, CO
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.