Individual provider Active NPI

Crystal Ann Garcia, LPCA

  • Mental Health Counselor
  • Maysville, KY
National Provider Identifier
1548627466
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
171740 Issued in KY
Practice address
901 US 68 Ste 900
Maysville, KY 41056-9190
Phone
(606) 584-7055
NPI assigned
Jan 22, 2016
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X 171740 KY Primary

Addresses

Primary practice location

901 US 68 Ste 900
Maysville, KY 41056-9190

Mailing address

901 US 68 Ste 900
Maysville, KY 41056-9190
Phone (606) 584-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240307001251 KY Practitioner - Mental Health Counselor 4688010150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

320 Montjoy St
Falmouth, KY 41040-1132
Phone (859) 578-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
171740KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Jan 1, 2024 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince Jan 1, 2024 Accepting new patients

Locations

2688 US Highway 227
Carrollton, KY 41008

503 Farrell Dr
Covington, KY 41011
Phone (606) 578-3214

320 Montjoy St
Falmouth, KY 41040
Phone (859) 654-6988

7459 Burlington Pike
Florence, KY 41042
Phone (859) 282-6585

12 E 5th St
Newport, KY 41071
Phone (859) 491-6510

308 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-4442

Organizations & group practices 2

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": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1548627466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 US 68 STE 900",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569190",
            "telephone_number": "606-584-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 US 68 STE 900",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569190",
            "telephone_number": "606-584-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "171740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.