Crystal Lynn Booth, M.S., L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC004294 Issued in PA

Practice address

1976 E High St
Suite 203
Pottstown, PA 19464-3277

Phone

(610) 326-1610

Fax

(610) 326-3104

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Psychology & Counseling Associates, PC

  • Clinical Psychologist
  • Pottstown, PA
  • NPI 1750303368
  Medicare reassignment NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285786244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SILVER LEAF CIR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194261971",
            "telephone_number": "610-489-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 E HIGH ST",
            "address_2": "SUITE 203",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643277",
            "telephone_number": "610-326-1610",
            "fax_number": "610-326-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC004294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC MHS PROVIDER NUMBER",
            "identifier": "2785696000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samiyah Bond
• Lauren Bongiorni, LPC
• Jade Bono
• Phyllis A Boone, ME MT-BC
• Shawanda Boone
• Joseph Michael Borysowski, ATC
• Hilary Anne Boscoe
• Boscovs Department Store LLC
• Jennifer Bouher
• Simon Sarkis Boulattouf, M.D.

• Mental Health Counselor in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.