Individual provider Active NPI

Crystal Leigh Walker, LPC-S, CADC

  • Mental Health Counselor
  • Poteau, OK
National Provider Identifier
1609088574
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2202 N Broadway St
Poteau, OK 74953-2000
Phone
(918) 649-0230
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X 4280 OK
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2202 N Broadway St
Poteau, OK 74953-2000

Mailing address

PO Box 653
Poteau, OK 74953-0653
Phone (918) 649-0018

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address newhope@nhcgc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240118002937 OK Practitioner - Mental Health Counselor 1052717915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Hope Counseling and Guidance Center LLCGroup PAC ID 6608272562, 6 clinicians

Practice addresses (Care Compare)

204 Wall St
Poteau, OK 74953-4400
Phone (918) 649-0018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4280OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Counseling and Guidance Center LLC CurrentSince Jan 9, 2024 Accepting new patients
Sequelcare of Oklahoma Past Accepting new patients

Locations

204 Wall St
Ste A
Poteau, OK 74953
Phone (918) 647-2155

204 Wall St
Poteau, OK 74953
Phone (918) 647-8635

2202 N Broadway St
Poteau, OK 74953
Phone (918) 647-0670

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1609088574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 653",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530653",
            "telephone_number": "918-649-0018",
            "fax_number": "918-564-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532000",
            "telephone_number": "918-649-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CRYSTAL",
        "middle_name": "LEIGH",
        "credential": "LPC-S, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4280",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "newhope@nhcgc.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2202 N Broadway St",
            "city": "Poteau",
            "state": "OK",
            "country_code": "US",
            "postal_code": "749532000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.