Individual provider Active NPI

Crystal Lee Lumby, LPC, NCC

  • Mental Health Counselor
  • Portage, WI
National Provider Identifier
1730671744
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7933-125 Issued in WI
Practice address
1508 New Pinery Rd
Portage, WI 53901-1312
Phone
(608) 745-4900
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7933-125 WI Primary

Addresses

Primary practice location

1508 New Pinery Rd
Portage, WI 53901-1312

Mailing address

1508 New Pinery Rd
Portage, WI 53901-1312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20241113000049 WI Practitioner - Mental Health Counselor 2163956285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Counseling LLCGroup PAC ID 6204098304, 7 clinicians

Practice addresses (Care Compare)

1508 New Pinery Rd
Portage, WI 53901-1312
Phone (608) 745-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling, LLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

1508 New Pinery Rd
Portage, WI 53901
Phone (608) 742-4533

Organizations & group practices 1

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1730671744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011312",
            "telephone_number": "608-745-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMBY",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7933-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

Verify at the official NPI Registry.