Individual provider Active NPI

Crystal D Myers, LPC

  • Professional Counselor
  • Ruckersville, VA
National Provider Identifier
1326315482
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005126 Issued in VA
Practice address
8767 Seminole TRL Ste 201B
Ruckersville, VA 22968
Phone
(434) 990-1744
NPI assigned
Nov 17, 2011
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701005126 VA
Professional Counselor 101YP2500X 0701005126 VA Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

8767 Seminole TRL Ste 201B
Ruckersville, VA 22968

Mailing address

753 Geranium Rd
Ruckersville, VA 22968-2416
Phone (540) 830-9018

Other practice location 1

294 E Main St
Stanley, VA 22851-4039
Phone (434) 990-1744

Other practice location 2

250 Memorial Dr # B
Luray, VA 22835-1000
Phone (434) 990-1744

Other practice location 3

126 Creekside Ln
Winchester, VA 22602-2429
Phone (434) 990-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240116000463 VA Practitioner - Mental Health Counselor 1052707619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Works Professional Counseling, PLLCGroup PAC ID 0143616706, 7 clinicians

Practice addresses (Care Compare)

126 Creekside LN
Winchester, VA 22602-2429
Phone (434) 990-1744

8767 Seminole TRL
Suite 101
Ruckersville, VA 22968-3494
Phone (434) 990-1744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Works Professional Counseling, PLLC Mental Health CurrentSince Sep 22, 2017 Accepting new patients

Locations

250 Memorial Dr
#B
Luray, VA 22835
Phone (434) 990-1744

8767 Seminole Trl
Ste 101
Ruckersville, VA 22968
Phone (434) 985-6909

8767 Seminole Trl
Ste 201B
Ruckersville, VA 22968
Phone (434) 990-1744

294 E Main St
Stanley, VA 22851
Phone (434) 990-1744

126 Creekside Ln
Winchester, VA 22602
Phone (434) 990-1744

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1326315482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 GERANIUM RD",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229682416",
            "telephone_number": "540-830-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8767 SEMINOLE TRL STE 201B",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "22968",
            "telephone_number": "434-990-1744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "294 E Main St",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "VA",
            "postal_code": "228514039",
            "country_code": "US",
            "telephone_number": "434-990-1744",
            "fax_number": "434-939-9401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Memorial Dr # B",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351000",
            "country_code": "US",
            "telephone_number": "434-990-1744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Creekside Ln",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226022429",
            "country_code": "US",
            "telephone_number": "434-990-1744",
            "fax_number": "434-939-9401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005126",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005126",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruckersville, VA

Sources for this page

Verify at the official NPI Registry.