Crystal Dawn Sinclair, ADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

306 Airport Dr
Moncks Corner, SC 29461-2629

Phone

(843) 761-8272

Fax

(843) 719-3025

NPI assigned

Apr 27, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1295317485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 AIRPORT DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612629",
            "telephone_number": "843-761-8272",
            "fax_number": "843-719-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 AIRPORT DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612629",
            "telephone_number": "843-761-8272",
            "fax_number": "843-719-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "credential": "ADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "571048948",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron T Simmons
• Amanda N Simmons
• Shantasia M. a, Simmons, RN
• Monique D Simon
• Michelle Tracey Sims, RN
• Charmaine Singleton, MSW
• Nicole Marie Sinnigen, MS, LPC, NCC
• Angela W Smalls, HUMAN SERV COORD I
• Delores McGhee Smalls, RN
• Shanbreyl T Smalls

• Addiction (Substance Use Disorder) Counselor in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.