Crystal Thomas, Llmsw

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093486 Issued in MI

Legal business name

CRYSTAL THOMAS, LLMSW

Doing business as

My Moment to Unwind

Practice address

821 S Elmwood Ave
Suite C
Traverse City, MI 49684-2191

Phone

(231) 735-0144

Fax

(231) 947-2444

NPI assigned

Jul 2, 2014

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Thomas, LMSWNPI 1861760324

Title

Owner

Phone

(231) 735-0144

Specialties & licenses 1

Addresses

Other names 1

• My Moment to Unwind Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal M Thomas, LMSW

  • Clinical Social Worker
  • Kingsley, MI
  • NPI 1861760324
  Authorized official Same address or phone
• Melissa Ann Bullard, PH.D.

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1851435721
  NPD (past)
• Barbara Jones Smith, PHD

  • Psychologist
  • Traverse City, MI
  • NPI 1740344456
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1154737872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S ELMWOOD AVE",
            "address_2": "SUITE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842191",
            "telephone_number": "231-735-0144",
            "fax_number": "231-947-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S ELMWOOD AVE",
            "address_2": "SUITE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842191",
            "telephone_number": "231-735-0144",
            "fax_number": "231-947-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL THOMAS, LLMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-735-0144",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Moment to Unwind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Ann Crummel, FNP
• Crystal Lake Clinic P.C.
• Crystal Lake Clinic P.C.
• Crystal Lake Clinic P.C.
• Crystal Lake Clinic, PC
• Culver Meadows Afc, Inc.
• Culver Senior Living, Inc.
• Curtis A Cummins, M.D.
• Madison Marie Cunningham, PA-C
• Sherry Cunningham

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.