Crystal Fayette Wilson, PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12975 Issued in NE

Practice address

1900 F St
Geneva, NE 68361-2229

Phone

(402) 759-3192

NPI assigned

Jun 8, 2022

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Fayette Gurley Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fillmore County HospitalGroup PAC ID 9638144942, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fillmore County Hospital Hospital, Geneva, NE, CCN 281301

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fillmore County Hospital

  • Orthopaedic Surgery Physician
  • Geneva, NE
  • NPI 1508956467
  Medicare reassignment NPD
• Fillmore County Hospital

  • Critical Access Hospital
  • Geneva, NE
  • NPI 1689769382
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fillmore County Hospital

  • Critical Access Hospital
  • Geneva, NE
  • NPI 1689769382
  Care Compare affiliation

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1720717432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 F ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612229",
            "telephone_number": "402-759-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 F ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612229",
            "telephone_number": "402-759-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CRYSTAL",
        "middle_name": "FAYETTE",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal.wilson@doane.edu",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1900 F St",
            "city": "Geneva",
            "state": "NE",
            "country_code": "US",
            "postal_code": "683612229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "GURLEY",
            "middle_name": "FAYETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alise Marie Verhage
• Carroll Lynn Verhage, M.D.
• VSL Geneva LLC (Heritage Crossings)
• William D Weaver
• Weber Behavioral Health
• Simone Yates
• Jeanine Zink-Wythers, MA, LMHP, LADC

• Mental Health Counselor in Geneva, NE
• Providers in Geneva, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.