NPIMap

Organization Active NPI

Crystal F. Clair, Inc.

  • Mental Health Counselor
  • Port Townsend, WA
National Provider Identifier
1659775484
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.010282 Issued in IL
Legal business name
CRYSTAL F. CLAIR, INC.
Practice address
1136 Water Street
Suite 112
Port Townsend, WA 98368
Phone
(410) 271-4337
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Mrs. Lynn Buchanan Gilman, LMHC
Title
Licensed Mental Health Counselor
Phone
(410) 271-4337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 178.010282 IL Primary

Addresses

Primary practice location

1136 Water Street
Suite 112
Port Townsend, WA 98368

Mailing address

1000 Madison Street
Port Townsend, WA 98368
Phone (410) 271-4337

National Provider Directory

National Provider Directory
Tax ID family
Crystal F Clair Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1136 Water St
Ste 112
Port Townsend, WA 98368
Phone (410) 271-4337

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1659775484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MADISON STREET",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "98368",
            "telephone_number": "410-271-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 WATER STREET",
            "address_2": "SUITE 112",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "98368",
            "telephone_number": "410-271-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL F. CLAIR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "BUCHANAN",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "410-271-4337",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.010282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.