Individual provider Active NPI

Crystal Ann Hubbell, M.S, LPCC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1679976138
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E1100061 Issued in OH
Practice address
431 Ohio Pike Ste 312
Cincinnati, OH 45255-3629
Phone
(513) 787-4037
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E1100061 OH Primary

Addresses

Primary practice location

431 Ohio Pike Ste 312
Cincinnati, OH 45255-3629

Mailing address

431 Ohio Pike Ste 312
Cincinnati, OH 45255-3629
Phone (513) 787-4037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240405000706 OH Practitioner - Mental Health Counselor 2062803539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Integrative Counseling Solutions LLCGroup PAC ID 1254722721, 5 clinicians

Practice addresses (Care Compare)

431 Ohio Pike
Suite 312
Cincinnati, OH 45255-3629
Phone (513) 770-1705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
E1100061OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Solutions, LLC CurrentSince Mar 17, 2016 Accepting new patients

Locations

200 W Plane St
Ste 201
Bethel, OH 45106
Phone (513) 770-1705

431 Ohio Pike
Ste 312
Cincinnati, OH 45255
Phone (513) 335-3650

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1679976138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 312",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553629",
            "telephone_number": "513-787-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 312",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553629",
            "telephone_number": "513-787-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBELL",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "M.S, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1100061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.