Crystal Raullerson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18749 Issued in FL

Practice address

7000 W Palmetto Park Rd Ste 407
Boca Raton, FL 33433-3425

Phone

(954) 227-2700

Fax

(954) 227-2704

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Dna Comprehensive Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1316363757
  Medicare reassignment Care Compare group NPD
• Bonita Springs Retirement Village, Inc.

  • Skilled Nursing Facility
  • Bonita Springs, FL
  • NPI 1700126802
  NPD
• Mindpath Health Florida, PLLC

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1467467266

  Mental Health

  NPD

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1609467620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 GIANT OAK LN APT 195",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328103546",
            "telephone_number": "407-639-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W PALMETTO PARK RD STE 407",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333425",
            "telephone_number": "954-227-2700",
            "fax_number": "954-227-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAULLERSON",
        "first_name": "CRYSTAL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Ratsprecher, PSY.D.
• Cheryl Marsha Rattigan, ED.D.
• Lisa Rose Rattiner Padilla
• Gail E Rattner, LCSW
• Mitchell K Rauch, M.D.
• Isabella Ravanesi
• Tanya Raveau
• Pablo Ezequiel Ravenna, MD
• Patrick Michael Rawa, PH.D.
• Sherry Ann Rawiszer, LCSW

• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.