Individual provider Active NPI

Crystal M Walters, LMFT

  • Marriage & Family Therapist
  • Wheat Ridge, CO
National Provider Identifier
1336644467
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000974 Issued in PA
Practice address
4251 Kipling St Unit 430
Wheat Ridge, CO 80033-2970
Phone
(267) 419-7817
NPI assigned
Mar 29, 2018
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT.0001672 CO
Marriage & Family Therapist 106H00000X MF000974 PA Primary

Addresses

Primary practice location

4251 Kipling St Unit 430
Wheat Ridge, CO 80033-2970

Mailing address

4251 Kipling St Unit 430
Wheat Ridge, CO 80033-2970
Phone (267) 419-7817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241120004451 CO Practitioner - Marriage and Family Therapist 4587199096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4251 Kipling St
Unit 430
Wheat Ridge, CO 80033-2970
Phone (267) 419-7817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT.0001672COMDMarriage & Family Therapist
MF000974PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Where You Are Counseling, LLC CurrentSince Oct 5, 2024 Accepting new patients

Locations

4251 Kipling St
Unit 430
Wheat Ridge, CO 80033
Phone (267) 419-7817

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1336644467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 430",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332970",
            "telephone_number": "267-419-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 430",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332970",
            "telephone_number": "267-419-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001672",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.