Active NPI
Chrystal Nelthropp, MA
- Mental Health Counselor
- Nehalem, OR
National Provider Identifier
1619386356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C4615
- Practice address
- 35850 7TH Street
Nehalem, OR 97131-9518 - Phone
- (206) 390-6249
- NPI assigned
- Aug 6, 2014
- Last updated
- Jul 25, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61416228 | WA | |
| Mental Health Counselor | 101YM0800X | C4615 | OR | Primary |
Addresses
Primary practice location
35850 7TH Street
Nehalem, OR 97131-9518
Mailing address
PO Box 797
Seaside, OR 97138-0797
Phone (206) 390-6249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4615 | OR | MD | Mental Health Counselor |
| LH61416228 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1619386356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 797",
"city": "SEASIDE",
"state": "OR",
"postal_code": "971380797",
"telephone_number": "206-390-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35850 7TH STREET",
"city": "NEHALEM",
"state": "OR",
"postal_code": "971319518",
"telephone_number": "206-390-6249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELTHROPP",
"first_name": "CHRYSTAL",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2023-07-25",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61416228",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C4615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nehalem, OR
- Mackenzie Anne Champ, N.D., LA.C
- Jennifer T Childress, CPM LDM
- Rachel Maureen Frank, OTRL
- Sheila Kathleen Moran, L.AC.
- Nehalem Bay Fire & Rescue District
- Northwest Medical Foundation of Tillamook (Adventist Health Manzanita Rehab Services)
- Nourish Natural Family Medicine
- Sirona LLC
- Anthony Frank Vinciguerra, DDS
- Birgitta Von Schlumperger, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.