Active NPI
Crystal Y Stanley
- Mental Health Counselor
- Edmonds, WA
National Provider Identifier
1194864512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RC00051529
- Practice address
- 547 Dayton St
Edmonds, WA 98020-3431 - Phone
- (425) 771-5166
- Fax
- (425) 670-2807
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00051529 | WA | Primary |
Addresses
Primary practice location
547 Dayton St
Edmonds, WA 98020-3431
Mailing address
22809 Lakeview Dr
Apt E-518
Mountlake Terrace, WA 98043-2815
Phone (425) 771-5166
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00051529 | WA | MD | Mental Health Counselor |
Interoperability endpoints
- cpurdy195637@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1194864512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22809 LAKEVIEW DR",
"address_2": "APT E-518",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432815",
"telephone_number": "425-771-5166",
"fax_number": "425-670-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 DAYTON ST",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203431",
"telephone_number": "425-771-5166",
"fax_number": "425-670-2807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "CRYSTAL",
"middle_name": "Y",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00051529",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "547 Dayton St",
"city": "Edmonds",
"state": "WA",
"country_code": "US",
"postal_code": "980203431",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.