Individual provider Active NPI

Crystal Lynn Davis-Yeboah, LMHC

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1124752449
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
111768 Issued in IA
Practice address
3839 Merle Hay Rd Ste 227
Des Moines, IA 50310-1312
Phone
(515) 669-8111
Fax
(515) 462-0633
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 111768 IA Primary

Addresses

Primary practice location

3839 Merle Hay Rd Ste 227
Des Moines, IA 50310-1312

Mailing address

3839 Merle Hay Rd Ste 227
Des Moines, IA 50310-1312
Phone (515) 669-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912003370 IA Practitioner - Mental Health Counselor 9436699782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Drake University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Therapy and Counseling ServicesGroup PAC ID 0840520300, 3 clinicians

Practice addresses (Care Compare)

3839 Merle Hay Rd
Suite 227
Des Moines, IA 50310-1312
Phone (515) 669-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

State licenses

LicenseStateTypeSpecialty
111768IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Therapy and Counseling Services Mental Health CurrentSince Jul 7, 2024 Accepting new patients

Locations

3839 Merle Hay Rd
Ste 227
Des Moines, IA 50310
Phone (515) 669-8111

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1124752449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 227",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101312",
            "telephone_number": "515-669-8111",
            "fax_number": "515-462-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 227",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101312",
            "telephone_number": "515-669-8111",
            "fax_number": "515-462-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-YEBOAH",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "111768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.