Crystal Cotton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8491-C Issued in AR

Practice address

117 Sawgrass PT
Harrison, AR 72601-3072

Phone

(870) 204-7488

Fax

(479) 750-4843

NPI assigned

Oct 23, 2015

Last updated

Mar 31, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Counseling and Family Therapy Center LLCGroup PAC ID 9739506684, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling & Family Therapy Center, LLC

  • Clinical Social Worker
  • Harrison, AR
  • NPI 1184243362
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1295107720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SAWGRASS PT",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013072",
            "telephone_number": "870-204-7488",
            "fax_number": "479-750-4843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725018679",
            "country_code": "US",
            "telephone_number": "870-793-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 N Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124576",
            "country_code": "US",
            "telephone_number": "479-464-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4081 Highway 7 S",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726015047",
            "country_code": "US",
            "telephone_number": "866-308-9925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTON",
        "first_name": "CRYSTAL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8491-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Medical Clinic PLLC
• Cornerstone Medical Clinic PLLC
• Miranda Lee Cornett, MS, RD
• Timothy D Costello, MD
• Cotter Public School District
• Counseling & Family Therapy Center, LLC
• Countryside at Rock Springs LLC
• Teresa R Courter, LCSW
• Jessica Anne Cox, PHARMD
• Tiffany Crawford, MHPP

• Clinical Social Worker in Harrison, AR
• Providers in Harrison, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.