Crystal Yolanda Mason, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCA2445 Issued in MD

Practice address

10006 Antium Way
Owings Mills, MD 21117-4069

Phone

(443) 805-3870

NPI assigned

Aug 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Healing by Faith, LLC

  • Mental Health Counselor
  • Columbia, MD
  • NPI 1306625702
  NPD Authorized official

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1134739600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10006 ANTIUM WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174069",
            "telephone_number": "443-805-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10006 ANTIUM WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174069",
            "telephone_number": "443-805-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "CRYSTAL",
        "middle_name": "YOLANDA",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA2445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland Sportscare & Rehab LLC
• Maryland Sportscare & Rehab, LLC
• Masa Healthcare, LLC
• Mark A Mashburn, M.D.
• Aisha Jamil Mason, LGPC
• Brenda Massicott, LCSW
• Masterlife With Stacey Coaching & Consulting LLC
• Tiffany Tutman Mathis, LMSW
• Matrix Rehabilitation Maryland, Inc.
• Lachrisia Lorraine Matthews, LCPC

• Addiction (Substance Use Disorder) Counselor in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.