Individual provider Active NPI

Crystal Dale Piper, MA, LPC

  • Professional Counselor
  • Centennial, CO
National Provider Identifier
1134770241
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014930 Issued in CO
Practice address
22003 E Grand Dr
Centennial, CO 80015-4713
Phone
(303) 506-8266
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC.0014930 CO Primary

Addresses

Primary practice location

22003 E Grand Dr
Centennial, CO 80015-4713

Mailing address

22003 E Grand Dr
Centennial, CO 80015-4713
Phone (303) 506-8266

Other names 1

  • Crystal Dale Bomeke 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0014930COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Breath of Fresh Air Counseling Professional CurrentSince Sep 25, 2019 Accepting new patients

Locations

2101 S Blackhawk St
Ste 240
Denver, CO 80014
Phone (520) 348-3179

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1134770241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22003 E GRAND DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154713",
            "telephone_number": "303-506-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22003 E GRAND DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154713",
            "telephone_number": "303-506-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "CRYSTAL",
        "middle_name": "DALE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BOMEKE",
            "middle_name": "DALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.