Individual provider Active NPI

Crystal D Hiner, PCCS/ LICDC

  • Mental Health Counselor
  • Uniontown, OH
National Provider Identifier
1285946137
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0900175SUPV Issued in OH
Practice address
3575 Forest Lake Dr Ste 100
Uniontown, OH 44685-8115
Phone
(330) 949-7043
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0900175SUPV OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC 111039 OH
Mental Health Counselor 101YM0800X E0900175SUPV OH Primary

Addresses

Primary practice location

3575 Forest Lake Dr Ste 100
Uniontown, OH 44685-8115

Mailing address

3575 Forest Lake Dr Ste 100
Uniontown, OH 44685-8115
Phone (330) 949-7043

Other identifiers 2

IdentifierTypeStateIssuer
E0900175 SUPVOtherOHPCCS
LICDC 111039OtherOHLICDC

Other names 1

  • Crystal D Ostrowske Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240131004900 OH Practitioner - Mental Health Counselor 8123471638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Counseling Services, LLCGroup PAC ID 7214380724, 12 clinicians

Practice addresses (Care Compare)

3575 Forest Lake Dr
Suite 100
Uniontown, OH 44685-8115
Phone (330) 703-0105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC 111039OHMDAddiction (Substance Use Disorder) Counselor
E0900175SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling Services, LLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients

Locations

1033 E Turkeyfoot Lake Rd
Ste 104
Green, OH 44312
Phone (330) 703-0105

3575 Forest Lake Dr
Ste 100
Green, OH 44685
Phone (330) 703-0105

Organizations & group practices 1

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1285946137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 FOREST LAKE DR STE 100",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858115",
            "telephone_number": "330-949-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 FOREST LAKE DR STE 100",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446858115",
            "telephone_number": "330-949-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINER",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "credential": "PCCS/ LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0900175SUPV",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC 111039",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0900175SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCCS",
            "identifier": "E0900175 SUPV",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICDC",
            "identifier": "LICDC 111039",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "OSTROWSKE",
            "middle_name": "D",
            "credential": "PCCS/LICDC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.