Individual provider Active NPI

Crystal Renee Landtroop, MA, NCC, LCMHCA

  • Mental Health Counselor
  • Holly Springs, NC
National Provider Identifier
1497456594
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18608 Issued in NC
Practice address
190 Rosewood Centre Dr Ste 100
Holly Springs, NC 27540-7628
Phone
(919) 851-1527
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A18608 NC Primary

Addresses

Primary practice location

190 Rosewood Centre Dr Ste 100
Holly Springs, NC 27540-7628

Mailing address

190 Rosewood Centre Dr Ste 100
Holly Springs, NC 27540-7628
Phone (919) 851-1527

Other names 1

  • Mrs. Crystal Renee Landtroop Other name

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A18608NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1497456594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ROSEWOOD CENTRE DR STE 100",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407628",
            "telephone_number": "919-851-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 ROSEWOOD CENTRE DR STE 100",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407628",
            "telephone_number": "919-851-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDTROOP",
        "first_name": "CRYSTAL",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MA, NCC, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "LANDTROOP",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.