Active NPI
Crystal Hayse Edwards, NHC, LMT, NTS, LMHC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1336304278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CTB-2023-0078
- Practice address
- 5603 Essex Dr NW
Albuquerque, NM 87114-4719 - Phone
- (505) 896-0539
- NPI assigned
- Jul 21, 2008
- Last updated
- Jan 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CTB-2023-0078 | NM | Primary |
| Massage Therapist | 225700000X | 5546 | NM |
Addresses
Primary practice location
5603 Essex Dr NW
Albuquerque, NM 87114-4719
Mailing address
5603 Essex Dr NW
Albuquerque, NM 87114-4719
Phone (505) 896-0539
Other practice location 1
7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314
Phone (505) 884-1114
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2023-0078 | NM | MD | Mental Health Counselor |
| 5546 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1336304278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5603 ESSEX DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144719",
"telephone_number": "505-896-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5603 ESSEX DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144719",
"telephone_number": "505-896-0539"
}
],
"practiceLocations": [
{
"address_1": "7850 Jefferson St NE Ste 300",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871094314",
"country_code": "US",
"telephone_number": "505-884-1114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "CRYSTAL",
"middle_name": "HAYSE",
"name_prefix": "Ms.",
"credential": "NHC, LMT, NTS, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CTB-2023-0078",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "5546",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.