Individual provider Active NPI

Crystal Netuschil, LCSW

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1174196372
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00992893 Issued in CO
Practice address
2460 W 36 Ave Ste 30-C
Denver, CO 80211
Phone
(303) 264-9448
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 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 00992893 CO Primary

Addresses

Primary practice location

2460 W 36 Ave Ste 30-C
Denver, CO 80211

Mailing address

9832 Bucknell Way
Highlands Ranch, CO 80129-4396
Phone (303) 995-5502

Other practice location 1

9832 Bucknell Way
Highlands Ranch, CO 80129-4396
Phone (303) 995-5502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240912002088 CO Practitioner - Clinical Social Worker 3274073598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Counseling LLCGroup PAC ID 0648619114, 3 clinicians

Practice addresses (Care Compare)

2460 W 26TH Ave
Suite 30C
Denver, CO 80211-5340
Phone (720) 306-1383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00992893COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Counseling LLC Mental Health CurrentSince Jul 1, 2024 Accepting new patients

Locations

1776 S Jackson St
Ste 800
Denver, CO 80210
Phone (720) 306-1383

2460 W 26th Ave
Ste 30C
Denver, CO 80211
Phone (720) 306-1383

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": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1174196372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 BUCKNELL WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801294396",
            "telephone_number": "303-995-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 W 36 AVE STE 30-C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80211",
            "telephone_number": "303-264-9448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9832 Bucknell Way",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801294396",
            "country_code": "US",
            "telephone_number": "303-995-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETUSCHIL",
        "first_name": "CRYSTAL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "00992893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.