Individual provider Active NPI

Crystal Lynn Antolin, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1306326426
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145035 Issued in CA
Practice address
10265 Rockingham Dr Ste 100-4286
Sacramento, CA 95827-2523
Phone
(916) 868-9266
NPI assigned
Aug 17, 2018
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 145035 CA Primary

Addresses

Primary practice location

10265 Rockingham Dr Ste 100-4286
Sacramento, CA 95827-2523

Mailing address

10265 Rockingham Dr Ste 100-4286
Sacramento, CA 95827-2523
Phone (916) 868-9266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240415001012 CA Practitioner - Marriage and Family Therapist 4284073982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14500 Roscoe Blvd
Suite 400
Panorama City, CA 91402-4194
Phone (818) 800-2738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Therapeutic Alliance, a Licensed Clinical Social Worker Co CurrentSince Apr 2, 2024 Accepting new patients

Locations

14500 Roscoe Blvd
Ste 400
Van Nuys, CA 91402
Phone (800) 764-8981

30700 Russell Ranch Rd
Ste 250
Westlake Village, CA 91362
Phone (800) 764-8981

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

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1306326426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10265 ROCKINGHAM DR STE 100-4286",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272523",
            "telephone_number": "916-868-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10265 ROCKINGHAM DR STE 100-4286",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272523",
            "telephone_number": "916-868-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOLIN",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.