Active NPI
Crystal Sue Edwards, LMSW
- Clinical Social Worker
- Anchorage, AK
National Provider Identifier
1356907422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 151869
- Practice address
- 821 N St
Anchorage, AK 99501-3285 - Phone
- (785) 320-1708
- NPI assigned
- May 14, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 216209 | AK | |
| Clinical Social Worker | 1041C0700X | 151869 | AK | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5100 | AK |
Addresses
Primary practice location
821 N St
Anchorage, AK 99501-3285
Mailing address
PO Box 870192
Wasilla, AK 99687-0192
Other names 1
- Crystal Sue Vaughan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230217002489 | AK | Practitioner - Clinical Social Worker | 7315319464 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunshine Community Health Center Inc
Practice addresses (Care Compare)
24091 W Long Lake Rd
Willow, AK 99688-0519
Phone (907) 495-4100
PO Box
Suite 932
Talkeetna, AK 99676
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Community Health Center, Inc | Current | Accepting new patients | |
| Sunshine Community Health Center Inc | Current | Accepting new patients | |
| Alaska Full Circle Counseling Solutions LLC | Past | Accepting new patients | |
| Restoring Balance Counseling | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Interoperability endpoints
- crystal.edwards.1@27018.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Talkeetna, AK
- NPI 1922071117
AK
-
- Addiction (Substance Use Disorder) Counselor
- Anchorage, AK
- NPI 1073434817
Addiction (Substance Use Disorder)
-
- Federally Qualified Health Center (FQHC)
- Willow, AK
- NPI 1699892307
-
- Federally Qualified Health Center (FQHC)
- Wasilla, AK
- NPI 1932712882
-
- Community/Behavioral Health Agency
- Wasilla, AK
- NPI 1235558016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1356907422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 870192",
"city": "WASILLA",
"state": "AK",
"postal_code": "996870192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 N ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013285",
"telephone_number": "785-320-1708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CRYSTAL",
"middle_name": "SUE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "216209",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "151869",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AK",
"license": "5100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "VAUGHAN",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.