Active NPI
Crystal Harper, DMINCC
- Pastoral Counselor
- Roseville, CA
National Provider Identifier
1609328459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 16842
- Practice address
- 1700 Eureka Rd
Suite 155-7
Roseville, CA 95661-7720 - Phone
- (916) 993-2345
- NPI assigned
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 16842 | FL | Primary |
Addresses
Primary practice location
1700 Eureka Rd
Suite 155-7
Roseville, CA 95661-7720
Mailing address
1700 Eureka Rd
Suite 155-7
Roseville, CA 95661
Phone (916) 352-0500
Other names 1
- Crystal Harper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16842 | FL | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1609328459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 EUREKA RD",
"address_2": "SUITE 155-7",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95661",
"telephone_number": "916-352-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 EUREKA RD",
"address_2": "SUITE 155-7",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617720",
"telephone_number": "916-993-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "CRYSTAL",
"name_prefix": "Dr.",
"credential": "DMINCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "FL",
"license": "16842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "HARPER",
"credential": "LIC CLINCAL PASTORAL",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.