Individual provider Active NPI

Crystal Miller, LPC, NCC

  • Mental Health Counselor
  • Kansas City, MO
National Provider Identifier
1134859473
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2016045159 Issued in MO
Practice address
4401 NE Vivion Rd Ste 204
Kansas City, MO 64119-2800
Phone
(816) 919-4495
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 Counselor 101YM0800X 2016045159 MO Primary

Addresses

Primary practice location

4401 NE Vivion Rd Ste 204
Kansas City, MO 64119-2800

Mailing address

4401 NE Vivion Rd Ste 204
Kansas City, MO 64119-2800
Phone (816) 695-6519

Other practice location 1

4226 NE 60th Ct
Kansas City, MO 64119-1496
Phone (816) 695-6519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240816003126 MO Practitioner - Mental Health Counselor 0840738183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Mental Health Services, IncGroup PAC ID 8426950718, 35 clinicians

Practice addresses (Care Compare)

3100 NE 83Rd St
Suite 1001
Kansas City, MO 64119-4460
Phone (816) 468-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016045159MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Mental Health Services, Inc. CurrentSince Aug 7, 2024 Accepting new patients

Locations

3100 NE 83rd St
Ste 1001
Kansas City, MO 64119
Phone (816) 321-3230

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1134859473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 NE VIVION RD STE 204",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192800",
            "telephone_number": "816-695-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 NE VIVION RD STE 204",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192800",
            "telephone_number": "816-919-4495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4226 NE 60th Ct",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641191496",
            "country_code": "US",
            "telephone_number": "816-695-6519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CRYSTAL",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016045159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.