Individual provider Active NPI

Chrystal Renee Allen, LMHC, NCC

  • Mental Health Counselor
  • Hastings on Hudson, NY
National Provider Identifier
1235581448
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007104 Issued in NY
Practice address
78 Main St
Hastings on Hudson, NY 10706-1602
Phone
(914) 274-8334
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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 007104 NY Primary

Addresses

Primary practice location

78 Main St
Hastings on Hudson, NY 10706-1602

Mailing address

78 Main St
Hastings on Hudson, NY 10706-1602
Phone (914) 274-8334

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

LicenseStateTypeSpecialty
007104NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Rejuvenation Space LLC Mental Health Current Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1235581448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MAIN ST",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061602",
            "telephone_number": "914-274-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MAIN ST",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061602",
            "telephone_number": "914-274-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CHRYSTAL",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.