Crystal Worth
Individual provider Active NPI Mental Health Counselor · Davie, FL
NPI 1679216048 · NPPES record last updated Apr 14, 2022
Key facts
- NPI
- 1679216048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 22434 (FL)
- Practice address
- 12505 Orange Dr Ste 901
Davie, FL 33330-4300 - Phone
- (954) 342-0982
- NPI assigned
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2601 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1658
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250902004252 | FL | Practitioner - Mental Health Counselor | 5395246094 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22434 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seasons Psychotherapy Associates LLC | Mental Health | Current |
Accepting new patients |
| Seasons Psychotherapy Associates LLC | Mental Health | Current |
Accepting new patients |
| Seasons Psychotherapy Associates LLC | Mental Health | Current | Accepting new patients |
| Seasons Psychotherapy Associates LLC | Mental Health | Past | Accepting new patients |
Locations
10139 NW 31st St
Ste 102
Coral Springs, FL 33065
Phone (954) 342-0982
12505 Orange Dr
Ste 901
Davie, FL 33330
Phone (954) 342-0982
2601 E Oakland Park Blvd
Ste 205
Ft Lauderdale, FL 33306
Phone (954) 342-0982
3750 Gunn Hwy
Ste 108
Tampa, FL 33618
Phone (954) 342-0982
3750 Gunn Hwy
Ste 101
Tampa, FL 33618
Phone (813) 592-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22434 | FL | Yes |
Addresses
Primary practice location
12505 Orange Dr Ste 901
Davie, FL 33330-4300
Mailing address
12505 Orange Dr Ste 901
Davie, FL 33330-4300
Phone (954) 342-0982
Other providers in Davie, FL
- Christopher Edwin Woodruff
- Albert David Woods II
- Larissa Woolley
- World Diagnostics Laboratory
- World Optical II Inc
- Matthew Wozniak
- WPS Group, LLC
- Whitney Wray
- Shena Wright Emmanuel
- Brianna Wright
All providers in Davie, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.