Active NPI
Crystal Marco, LPC
- Professional Counselor
- Fort Washington, PA
National Provider Identifier
1215633888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC015349
- Practice address
- 7020 Camp Hill Rd
Fort Washington, PA 19034-2202 - Phone
- (215) 987-4473
- NPI assigned
- Feb 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC015349 | PA | |
| Professional Counselor | 101YP2500X | PC015349 | PA | Primary |
Addresses
Primary practice location
7020 Camp Hill Rd
Fort Washington, PA 19034-2202
Mailing address
2603 Carrell LN
Willow Grove, PA 19090-1005
Phone (267) 306-0824
Other practice location 1
500 N West St
Doylestown, PA 18901-2366
Phone (267) 893-5479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC015349 | Other | PA | STATE BOARD OF SOCIAL WORKERS, PROFESSIONAL COUNSELORS, AND MARRIAGE AND FAMILY |
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 |
|---|---|---|---|
| PC015349 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Counseling Services LLC | Mental Health | Current | Accepting new patients |
Locations
7020 Camp Hill Rd
Fort Washington, PA 19034
Phone (215) 987-4473
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.
-
- Professional Counselor
- Fort Washington, PA
- NPI 1013613694
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1215633888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 CARRELL LN",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901005",
"telephone_number": "267-306-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7020 CAMP HILL RD",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190342202",
"telephone_number": "215-987-4473"
}
],
"practiceLocations": [
{
"address_1": "500 N West St",
"address_purpose": "LOCATION",
"city": "Doylestown",
"state": "PA",
"postal_code": "189012366",
"country_code": "US",
"telephone_number": "267-893-5479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCO",
"first_name": "CRYSTAL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC015349",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC015349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF SOCIAL WORKERS, PROFESSIONAL COUNSELORS, AND MARRIAGE AND FAMILY",
"identifier": "PC015349",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.