Active NPI
Crystal Creek Counseling , PC Inc.
- Professional Counselor
- Estes Park, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CRYSTAL CREEK COUNSELING , PC INC.
- Practice address
- 1160 Woodstock Dr
Estes Park, CO 80517-5453 - Phone
- (719) 686-6703
- NPI assigned
- Aug 24, 2023
- Last updated
- Aug 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerilyn L Yingling
- Title
- Owner
- Phone
- (719) 686-6703
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
1160 Woodstock Dr
Estes Park, CO 80517-5453
Mailing address
PO Box 94
Green Mountain Falls, CO 80819-0094
Phone (719) 686-6703
National Provider Directory
National Provider Directory- Tax ID family
- Crystal Creek Counseling PC Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Salida, CO
- NPI 1346025756
-
- Professional Counselor
- Woodland Park, CO
- NPI 1487113221
-
- Clinical Social Worker
- Longmont, CO
- NPI 1518741966
Locations
1160 Woodstock Dr
Estes Park, CO 80517
Phone (303) 834-7132
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Woodland Park, CO
- NPI 1114343928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692835200000",
"number": "1275317620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94",
"city": "GREEN MOUNTAIN FALLS",
"state": "CO",
"postal_code": "808190094",
"telephone_number": "719-686-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 WOODSTOCK DR",
"city": "ESTES PARK",
"state": "CO",
"postal_code": "805175453",
"telephone_number": "719-686-6703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL CREEK COUNSELING , PC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A",
"authorized_official_last_name": "YINGLING",
"authorized_official_first_name": "JERILYN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-686-6703"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Estes Park, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.