Individual provider Active NPI

Crystal Lafler, LPC

  • Counselor
  • Centreville, MI
National Provider Identifier
1245797257
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401017261 Issued in MI
Practice address
677 E Main St
Centreville, MI 49032-8524
Phone
(269) 467-1000
NPI assigned
Feb 26, 2019
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401017261 MI Primary
Professional Counselor 101YP2500X 6401015811 MI

Addresses

Primary practice location

677 E Main St
Centreville, MI 49032-8524

Mailing address

677 E Main St
Centreville, MI 49032-8524
Phone (269) 467-1000

Other practice location 1

960 M 60 E
Cassopolis, MI 49031-9339
Phone (269) 445-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240130000370 MI Practitioner - Mental Health Counselor 5698128379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Mental Health Services of St Joseph CountyGroup PAC ID 9032178496, 17 clinicians

Practice addresses (Care Compare)

677 E Main St
Centreville, MI 49032-8524
Phone (269) 467-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401015811MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Services of St Joseph County CurrentSince Jan 1, 2024 Accepting new patients

Locations

677 E Main St
Centreville, MI 49032
Phone (269) 467-1001

677 E Main St
Ste A
Centreville, MI 49032
Phone (269) 467-1001

1020 Millard St
Three Rivers, MI 49093
Phone (269) 279-5187

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, 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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1245797257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 E MAIN ST",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490328524",
            "telephone_number": "269-467-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E MAIN ST",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490328524",
            "telephone_number": "269-467-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 M 60 E",
            "address_purpose": "LOCATION",
            "city": "Cassopolis",
            "state": "MI",
            "postal_code": "490319339",
            "country_code": "US",
            "telephone_number": "269-445-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFLER",
        "first_name": "CRYSTAL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017261",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MI

Sources for this page

Verify at the official NPI Registry.