Destiny Crayton

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22669 Issued in FL

Practice address

8110 SW 9TH St
North Lauderdale, FL 33068-2037

Phone

(316) 708-7217

NPI assigned

Feb 23, 2023

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 FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sirenity Tide Counseling Services LLC

  • Mental Health Counselor
  • North Lauderdale, FL
  • NPI 1932089240
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1518665017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 SW 9TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682037",
            "telephone_number": "316-708-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 SW 9TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682037",
            "telephone_number": "316-708-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYTON",
        "first_name": "DESTINY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsie M Cooper, RBT
• Kimberley Coore-Powell Fox, M.S., CCC-SLP
• Corebridge 17 Foundation, Inc.
• CQ Business Services LLC
• CQ Business Services LLC
• Marliz Crespo, M.S.
• Shantel Crosdale, NP
• Tamika Cummings-Palmer
• Curapath Transportation LLC
• Enid Damier

• Mental Health Counselor in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.