Crystal Rochelle Stidum, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

425 W Broadway St Ste H
North Little Rock, AR 72114-5576

Phone

(501) 412-0069

Fax

(501) 712-4534

NPI assigned

Jun 22, 2011

Sex

Female

Sole proprietor

Yes

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 AR

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, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Care Counseling Services

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1104692193
  Medicare reassignment NPD Authorized official
• TFS of Gurdon Inc

  • Community/Behavioral Health Agency
  • Malvern, AR
  • NPI 1639180805
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1629364203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9214 TALL TIMBER BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048523",
            "telephone_number": "501-247-0252",
            "fax_number": "012-470-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BROADWAY ST STE H",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145576",
            "telephone_number": "501-412-0069",
            "fax_number": "501-712-4534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 Halbert St",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721042607",
            "country_code": "US",
            "telephone_number": "501-332-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 W 2nd St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722012522",
            "country_code": "US",
            "telephone_number": "501-247-0252",
            "fax_number": "501-712-4534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIDUM",
        "first_name": "CRYSTAL",
        "middle_name": "ROCHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven F. Molpus, D.D.S., P.L.C.
• Steven L Cathey MD PA
• Alayshia Stevens
• Jason Garner Stewart, MD
• Linda P. Stewart, CCC/SLP
• Still Waters Consulting Group, LLC
• Kirsten Stiller, OTD, OTR/L
• Donna Stimson, MS, RD, LD
• Thomas T Stinnett, BA, MHPP
• Katharine Stockton, PHARMD

• Mental Health Counselor in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.