Individual provider Active NPI

Crystal Cerasaro, PPS

  • Counselor
  • Menifee, CA
National Provider Identifier
1316878713
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
220246026 Issued in CA
Practice address
29340 Humboldt CT
Menifee, CA 92585-8176
Phone
(951) 877-5733
NPI assigned
May 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 220246026 CA Primary

Addresses

Primary practice location

29340 Humboldt CT
Menifee, CA 92585-8176

Mailing address

29340 Humboldt CT
Menifee, CA 92585-8176
Phone (951) 877-5733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
220246026CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1316878713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29340 HUMBOLDT CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925858176",
            "telephone_number": "951-877-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29340 HUMBOLDT CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925858176",
            "telephone_number": "951-877-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERASARO",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "PPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "220246026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.