Crystal Trout, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C1700413 Issued in OH

Practice address

8680 Rock Riffle Rd
Athens, OH 45701-9656

Phone

(606) 471-9713

NPI assigned

Apr 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Behavioral Impact Partners

  • Primary Care Clinic/Center
  • Pomeroy, OH
  • NPI 1679456834
  NPD (past) Authorized official

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1134487291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 GLENFINNAN DR",
            "city": "ALBANY",
            "state": "OH",
            "postal_code": "457109462",
            "telephone_number": "606-471-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 ROCK RIFFLE RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019656",
            "telephone_number": "606-471-9713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 W Union St Ste D",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457018303",
            "country_code": "US",
            "telephone_number": "606-471-9713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROUT",
        "first_name": "CRYSTAL",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1700413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Trickey
• Jasmine Tripp
• Alexis J Trisch
• Morgan A Tritipo, RN
• Stephen Thomas Trotta, PT
• Terri Trout, QMHS
• Tryggyr, LLC
• M M Trzeciak-Kerr, LMHC
• Victoria Trzyna
• Kaylee Tucker

• Mental Health Counselor in Athens, OH
• Providers in Athens, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.