Crystal Marie Abernathy, MS, LCMHC
Individual provider Active NPI Professional Counselor · Kitty Hawk, NC
NPI 1295200814 · NPPES record last updated Jan 28, 2024
Key facts
- NPI
- 1295200814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- A14362 (NC)
- Practice address
- 12 Juniper TRL Ste 202
Kitty Hawk, NC 27949-3745 - Phone
- (252) 616-0658
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14362 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dare to Grow Counseling, PLLC | Current |
Accepting new patients | |
| Holland and Associates Counseling, PLLC. | Multi-Specialty | Past |
Accepting new patients |
Locations
12 Juniper Trl
Ste 202
Kitty Hawk, NC 27949
Phone (252) 616-0658
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | A14362 | NC | Yes |
Addresses
Primary practice location
12 Juniper TRL Ste 202
Kitty Hawk, NC 27949-3745
Mailing address
12 Juniper TRL Ste 202
Kitty Hawk, NC 27949-3745
Phone (252) 616-0658
Other providers in Kitty Hawk, NC
- Albemarle Eye Center, PLLC
- Albemarle Physician Services - Sentara, Inc
- Albemarle Physician Services Inc.
- Katelyn Nicole Angelo
- Lauren Endee Baer
All providers in Kitty Hawk, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.