Crystal Coury

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R-1041014 Issued in CA

Practice address

5607 Mount Murphy Roas
Garden Valley, CA 95667

Phone

(530) 333-9460

Fax

(530) 333-1019

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progress House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Garden Valley, CA
  • NPI 1801931878
  NPD (past)

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1629464326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 MOUNT MURPHY ROAS",
            "city": "GARDEN VALLEY",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-333-9460",
            "fax_number": "530-333-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 MOUNT MURPHY ROAS",
            "city": "GARDEN VALLEY",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-333-9460",
            "fax_number": "530-333-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURY",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R-1041014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Blasquez
• Holly Brannon, SUDRC
• Raymonda Brazeal
• Jami Carricaburu
• Justin Flynn Cogbill
• Coco Decarlo, 08-30-16
• Marjorie Domingo, DDS
• Steviee Garcia, RADT1
• Karen Kay Hernandez, PH.D.
• Cassandra Hess

• Addiction (Substance Use Disorder) Counselor in Garden Valley, CA
• Providers in Garden Valley, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.