Organization Active NPI

Couch Talk With Crystal, LLC

  • Marriage & Family Therapist
  • North Chesterfield, VA
National Provider Identifier
1700599438
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COUCH TALK WITH CRYSTAL, LLC
Practice address
1248 Carmia Way # 1164
North Chesterfield, VA 23235-4750
Phone
(804) 412-8504
NPI assigned
Dec 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Crystal Neville, LMFT
Title
Executive Director
Phone
(804) 412-8504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1248 Carmia Way # 1164
North Chesterfield, VA 23235-4750

Mailing address

429 Creekwillow Dr
Midlothian, VA 23113-3428

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1700599438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 CREEKWILLOW DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 CARMIA WAY # 1164",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354750",
            "telephone_number": "804-412-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUCH TALK WITH CRYSTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-412-8504",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.