Crystal Lee Wodkowski, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

246026 Issued in KY

Practice address

1003 Twilight TRL Ste 405
Frankfort, KY 40601-8471

Phone

(931) 217-1137

NPI assigned

Jul 7, 2016

Last updated

Feb 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1720430317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 OLD NEW LIBERTY RD",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403599675",
            "telephone_number": "931-217-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 TWILIGHT TRL STE 405",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406018471",
            "telephone_number": "931-217-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODKOWSKI",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "246026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Murphy Wilson, PTA
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• Stephen P. Wix, DMD
• Women's Care of the Bluegrass (Family Care of the Bluegrass)
• Women's Care of the Bluegrass
• Dalasia Woods
• Ganesh Yamraj, M.D.
• Susan E. Yezzo, AU.D.

• Marriage & Family Therapist in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.