Active NPI
Crystal Thornton, LCPC
- Professional Counselor
- Clarkston, WA
National Provider Identifier
1639349574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LH00008263
- Practice address
- 900 7TH St
Clarkston, WA 99403-2005 - Phone
- (509) 758-3341
- Fax
- (509) 769-6057
- NPI assigned
- Mar 6, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LH00008263 | WA | Primary |
Addresses
Primary practice location
900 7TH St
Clarkston, WA 99403-2005
Mailing address
900 7TH St
Clarkston, WA 99403-2005
Phone (509) 758-3341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH00008263 | Other | WA | STATE LICENSE |
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 |
|---|---|---|---|
| LH00008263 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1639349574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 7TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032005",
"telephone_number": "509-758-3341",
"fax_number": "509-769-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 7TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032005",
"telephone_number": "509-758-3341",
"fax_number": "509-769-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "CRYSTAL",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH00008263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LH00008263",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.