Crystal Malloy, PHD, LPC, MAC, CEAP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008241 Issued in GA

Practice address

174 Scholar Rd
Guyton, GA 31312-6240

Phone

(337) 396-5592

NPI assigned

Jul 30, 2015

Sex

Female

Sole proprietor

Yes

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.

• Diversity Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Hinesville, GA
  • NPI 1326594714

  GA

  Medicare reassignment Care Compare group NPD
• Diversity Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Hinesville, GA
  • NPI 1720108590
  Care Compare group NPD
• Diversity Health Center Inc.

  • Community/Retail Pharmacy
  • Ludowici, GA
  • NPI 1265274120
  Care Compare group NPD
• Dr Crystal Malloy PHD LPC Mac Ceap LLC

  • Mental Health Counselor
  • Guyton, GA
  • NPI 1235099276

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Diversity Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Jesup, GA
  • NPI 1518508613
  Care Compare group NPD (past)
• Diversity Health Center Inc

  • Community/Retail Pharmacy
  • Hinesville, GA
  • NPI 1255801890
  Care Compare group
• Diversity Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ludowici, GA
  • NPI 1952584708
  Care Compare group
• Diversity Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Hinesville, GA
  • NPI 1770056962
  Care Compare group
• Diversity Health Center Inc.

  • Community/Retail Pharmacy
  • Jesup, GA
  • NPI 1770107286
  Care Compare group

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diversity Health Center Inc 12 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1679958771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 SCHOLAR RD",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313126240",
            "telephone_number": "337-205-9357",
            "fax_number": "912-250-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 SCHOLAR RD",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313126240",
            "telephone_number": "337-396-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, MAC, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6233",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "GA",
            "license": "LPC8241",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "LPC08241",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "GA",
            "license": "LC008241",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "GA",
            "license": "LPC008241",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Guyton, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.