Crystal L Agnew, LPC, LCMHC, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15278 Issued in NC

Practice address

14030 Millers Creek LN
Charlotte, NC 28278-7246

Phone

(980) 253-6009

Fax

(888) 281-3008

NPI assigned

Jan 20, 2012

Last updated

Nov 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Barnesville, GA
  • NPI 1124183082
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1275804379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14030 MILLERS CREEK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787246",
            "telephone_number": "980-253-6009",
            "fax_number": "888-281-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 MILLERS CREEK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787246",
            "telephone_number": "980-253-6009",
            "fax_number": "888-281-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNEW",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "credential": "LPC, LCMHC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC12349",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007293",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010555",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8064",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maher Salah Agha, M.D.
• Akash Mohanlal Aghera, DMD
• Elizabeth Ayodele Agiri, NP
• Deborah G. Agisim, M.D.
• David Marshal Agner, MD
• Michael A Agnone, PT
• Sungeeta Agrawal, MD
• Rolando Aguiar Moreira
• Natalia Abigail Aguilar
• Victoria Hayes Robert Aguilar, MD

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.