Individual provider Active NPI

Crystal L Paredes, M.S., LPC

  • Professional Counselor
  • Casper, WY
National Provider Identifier
1689940124
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1343 Issued in WY
Practice address
1430 Wilkins Circle
Casper, WY 82601-1336
Phone
(307) 237-9583
Fax
(307) 265-7277
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-1343 WY Primary

Addresses

Primary practice location

1430 Wilkins Circle
Casper, WY 82601-1336

Mailing address

1430 Wilkins Circle
Casper, WY 82601-1336
Phone (307) 237-9583

Other names 1

  • Crystal L Balerio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250206001206 TX Practitioner - Mental Health Counselor 0941730980 Reassigns benefits to 1 organization
I20260617002723 WY Practitioner - Mental Health Counselor 0941730980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11100 Nall Ave
Suite 316
Overland Park, KS 66211-1205

1430 Wilkins Cir
Casper, WY 82601-1336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC-1343WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindoula Health Inc. CurrentSince Jan 27, 2025 Accepting new patients

Locations

8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (301) 284-0207

1119 E West Hwy
Silver Spring, MD 20910
Phone (888) 879-9788

1999 Bryan St
Ste 900
Dallas, TX 75201
Phone (469) 809-6012

Organizations & group practices 2

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1689940124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 WILKINS CIRCLE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011336",
            "telephone_number": "307-237-9583",
            "fax_number": "307-265-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 WILKINS CIRCLE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011336",
            "telephone_number": "307-237-9583",
            "fax_number": "307-265-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BALERIO",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.