Active NPI
Crystal V Lewis, ED.S., LPC
- Professional Counselor
- Smiths Station, AL
National Provider Identifier
1265118384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC014017
- Practice address
- 1568 Summerville Rd
Smiths Station, AL 36877-5009 - Phone
- (762) 258-2249
- NPI assigned
- Jun 23, 2023
- Last updated
- Jul 31, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC014017 | GA | Primary |
Addresses
Primary practice location
1568 Summerville Rd
Smiths Station, AL 36877-5009
Mailing address
1568 Lee Rd 248
Smiths Station, AL 36877
Phone (762) 258-2249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC014017 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1265118384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1568 LEE RD 248",
"city": "SMITHS STATION",
"state": "AL",
"postal_code": "36877",
"telephone_number": "762-258-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1568 SUMMERVILLE RD",
"city": "SMITHS STATION",
"state": "AL",
"postal_code": "368775009",
"telephone_number": "762-258-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CRYSTAL",
"middle_name": "V",
"credential": "ED.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2024-07-31",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPCC014017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smiths Station, AL
- David Henry Ennis, PHARMD
- Julie Graham, LPC
- Jessica Leigh Hutzul, ATC, LAT, MED
- Ashley Coby Lackey, CRNP
- Samantha Lawson, DO
- LL Home Health & Homemaker Service (Peace At Home Healthcare & Homemaker Service)
- Vernice J Maiga
- Majestic Seasons, LLC
- Medical Equipment Solutions, LLC
- Katelyn Silvey Morgan, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.