Organization Active NPI

Crysta Harris and Associates Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, DE
National Provider Identifier
1700471950
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CRYSTA HARRIS AND ASSOCIATES INC
Practice address
4023 Kennett Pike # 604
Wilmington, DE 19807-2018
Phone
(302) 521-8790
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Crysta Harris, LPCMHNPI 1477036440
Title
Owner
Phone
(302) 521-8790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4023 Kennett Pike # 604
Wilmington, DE 19807-2018

Mailing address

4023 Kennett Pike # 604
Wilmington, DE 19807-2018
Phone (302) 521-8790

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WILMINGTON

National Provider Directory

National Provider Directory

Locations

260 Chapman Rd
Ste 104B
Newark, DE 19702
Phone (302) 499-2326

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1700471950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 KENNETT PIKE # 604",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072018",
            "telephone_number": "302-521-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 KENNETT PIKE # 604",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072018",
            "telephone_number": "302-521-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTA HARRIS AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CRYSTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-521-8790",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WILMINGTON",
            "affiliation": "N",
            "address_1": "260 Chapman Rd Ste 104B",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197025410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.