Individual provider Active NPI

Crystal Hill

  • Clinical Social Worker
  • Alexandria, LA
National Provider Identifier
1215300587
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11703 Issued in LA
Practice address
5411 Coliseum Blvd
Alexandria, LA 71303-3729
Phone
(318) 484-6850
NPI assigned
Nov 9, 2015
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1500 LA
Clinical Social Worker 1041C0700X 11703 LA Primary

Addresses

Primary practice location

5411 Coliseum Blvd
Alexandria, LA 71303-3729

Mailing address

PO Box 7118
Alexandria, LA 71306-0118
Phone (318) 704-5907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230505000180 LA Practitioner - Clinical Social Worker 0244695781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5411 Coliseum Blvd
Alexandria, LA 71303-3729
Phone (318) 484-6850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11703LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central la Human Services District Current Accepting new patients
Renewed Spirits Teletherapy LLC Addiction (Substance Use Disorder) Current Accepting new patients
Central la Human Services District CurrentSince Mar 21, 2023 Accepting new patients

Locations

5411 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 484-6850

2801 Fourth St
Ste 5
Jonesville, LA 71343
Phone (318) 339-8553

105 Belview Rd
Leesville, LA 71446
Phone (337) 238-6431

694 Government St
Marksville, LA 71351
Phone (318) 253-9638

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1215300587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7118",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713060118",
            "telephone_number": "318-704-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033729",
            "telephone_number": "318-484-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.