Crystal Clear Pathways LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

CRYSTAL CLEAR PATHWAYS LLC

Practice address

626 Buckeye Ave
Sidney, OH 45365-1216

Phone

(937) 441-9873

NPI assigned

Nov 30, 2024

Organization subpart

No

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

Authorized official

Name

Crystal Darlene DouglasNPI 1093531592

Title

Executive Career Coach

Phone

(937) 441-9873

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Darlene Douglas

  • Case Manager/Care Coordinator
  • Sidney, OH
  • NPI 1093531592
  NPD Authorized official

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1144046665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 BUCKEYE AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651216",
            "telephone_number": "937-441-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 BUCKEYE AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651216",
            "telephone_number": "937-441-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "EXECUTIVE CAREER COACH",
        "authorized_official_telephone_number": "937-441-9873"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Creager
• Mandi Christine Croft
• Alisha Cruse
• Erica Cruse
• Greg Cruse
• Jamie Culp, MASTER OF EDUCATION
• Regina Ann Cunningham
• Kayla Curlis
• Robert Wayne Curlis, RPH
• Athen Larae Cutlip, LSW

• Health Educator in Sidney, OH
• Providers in Sidney, OH by specialty
• Health Educator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.