Individual provider Active NPI

Krystal Maria Cromwell

  • Mental Health Counselor
  • Colonial Heights, VA
National Provider Identifier
1265101257
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2801 Boulevard Ste F
Colonial Heights, VA 23834-2323
Phone
(804) 479-3515
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 Primary

Addresses

Primary practice location

2801 Boulevard Ste F
Colonial Heights, VA 23834-2323

Mailing address

212 W 7TH St Unit 102
Richmond, VA 23224-2357
Phone (917) 736-7538

Other practice location 1

212 W 7th St Unit 102
Richmond, VA 23224-2357
Phone (917) 736-7538

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcromwell@healthymindsinc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240617003587 VA Practitioner - Mental Health Counselor 8527501691 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Over Matter Therapeutic Services LLC Mental Health CurrentSince Mar 22, 2024 Accepting new patients
Healthyminds, Inc. Mental Health CurrentSince Oct 27, 2024 Accepting new patients

Locations

2801 Boulevard
Ste F
Colonial Heights, VA 23834
Phone (804) 334-9862

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1265101257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W 7TH ST UNIT 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242357",
            "telephone_number": "917-736-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BOULEVARD STE F",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342323",
            "telephone_number": "804-479-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 W 7th St Unit 102",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232242357",
            "country_code": "US",
            "telephone_number": "917-736-7538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROMWELL",
        "first_name": "KRYSTAL",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcromwell@healthymindsinc.org",
            "affiliation": "N",
            "address_1": "2801 Boulevard Ste F",
            "city": "Colonial Heights",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238342323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.