Crystal Overton, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17543 Issued in NC

Practice address

416 Kiesee Dr
Greenville, NC 27834-6066

Phone

(252) 562-3493

NPI assigned

May 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Recovery Innovations, Inc

  dba Ri International

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1700257664
  Medicare reassignment NPD
• Recovery Innovations, Inc

  dba Ri International

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1609009919
  NPD
• Recovery Innovations, Inc

  dba Ri International

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1902776107
  NPD

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1437895547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 KIESEE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346066",
            "telephone_number": "252-562-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 KIESEE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346066",
            "telephone_number": "252-562-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "CRYSTAL",
        "credential": "LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Outlaw, DO
• Michelle Leigh Overby, CNM
• Suzanne Overholt
• Herman Boyd Overman Jr., L.P.T.
• Michel Andrew Overman, RPH
• Giovanna Owen, DO
• Jacob Dalton Owen, MD
• Elizabeth Brisco Owens
• Jason Thomas Owens, PA-C
• Mary Kathryn Owens

• Mental Health Counselor in Greenville, NC
• Providers in Greenville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.