Chrystal Bowdry, LMFT, LPCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

131973 Issued in CA

Practice address

1486 Huntington Ave Ste 100
South San Francisco, CA 94080-5971

Phone

(650) 877-8642

Fax

(650) 877-8643

NPI assigned

Jul 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Youth Service Bureau of the YMCA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South San Francisco, CA
  • NPI 1235712837
  NPD
• Caminar

  • Community/Behavioral Health Agency
  • Redwood City, CA
  • NPI 1992252829
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1548756919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 VALLEYVIEW WAY",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805553",
            "telephone_number": "650-483-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 HUNTINGTON AVE STE 100",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805971",
            "telephone_number": "650-877-8642",
            "fax_number": "650-877-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDRY",
        "first_name": "CHRYSTAL",
        "credential": "LMFT,  LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "14244",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bogue, MS, CGC
• Kiranjyot Boparai, FNP-BC
• Rebecca Borusko, FNP
• Desiree Dominique Botelho
• Bougainvilleas Care LLC
• Karla Renee Bowles, PH.D., FACMG, CGMB
• Yareli Yurianairi Bowman, OTR/L
• Anna Boyko, RN, NP
• Louise Irene Bracy
• Braden Partners LP

• Marriage & Family Therapist in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.