Organization Active NPI

Crystal Eaton Lcmhc LLC

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1598397697
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CRYSTAL EATON LCMHC LLC
Practice address
76 Northeastern Blvd Ste 32B
Nashua, NH 03062-3196
Phone
(978) 419-1781
NPI assigned
Feb 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Crystal Eaton, LCMHCNPI 1972961498
Title
Sole Member
Phone
(978) 419-1781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

76 Northeastern Blvd Ste 32B
Nashua, NH 03062-3196

Mailing address

76 Northeastern Blvd Ste 32B
Nashua, NH 03062-3196
Phone (978) 419-1781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515002843 NH Part B Supplier - Clinic/Group Practice 9436590957 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH

National Provider Directory

National Provider Directory

Locations

76 Northeastern Blvd
Ste 32B
Nashua, NH 03062
Phone (603) 891-1155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1598397697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 NORTHEASTERN BLVD STE 32B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623196",
            "telephone_number": "978-419-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NORTHEASTERN BLVD STE 32B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623196",
            "telephone_number": "978-419-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL EATON LCMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "978-419-1781",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.