Crystal Lynn Chiu, LPC
Individual provider Active NPI Professional Counselor · Mission, TX
NPI 1265079396 · NPPES record last updated Apr 1, 2021
Key facts
- NPI
- 1265079396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 77921 (TX)
- Practice address
- 611 N Bryan Rd
Mission, TX 78572-6285 - Phone
- (956) 787-0787
- NPI assigned
- Dec 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nuestra Clinica del Valle, Inc.
Practice addresses (Care Compare)
611 N Bryan Rd
Mission, TX 78572-6285
Phone (956) 580-3303
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241104001608 | TX | Practitioner - Mental Health Counselor | 8921531534 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77921 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuestra Clinica del Valle, Inc. | Current |
Accepting new patients | |
| Nuestra Clinica del Valle, Inc. | Current |
Accepting new patients |
Locations
1500 W 1st St
Mercedes, TX 78570
Phone (956) 565-3191
611 N Bryan Rd
Mission, TX 78572
Phone (956) 580-3303
801 W 1st St
San Juan, TX 78589
Phone (956) 787-0787
Interoperability endpoints
- crystal.chiu@ncdv.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77921 | TX | Yes |
Addresses
Primary practice location
611 N Bryan Rd
Mission, TX 78572-6285
Mailing address
611 N Bryan Rd
Mission, TX 78572-6285
Phone (956) 787-0787
Other providers in Mission, TX
- Jessica Anna Chavez
- Krystal Lizette Chavez
- Raven Elise Chavez
- Liana Therese Chee
- Rockefeller Chery
- Jun Sang Cho
- Ja Yoon Choi
- Choose Physical Therapy PLLC
- Violetta Chu
- Cielito Lindo Primary Home Care LLC
All providers in Mission, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.