Crystal Deanna Osborn, LMFT, CSCT, CST

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

113418 Issued in CA

Practice address

6371 Haven Ave
Rancho Cucamonga, CA 91737-6943

Phone

(909) 303-0969

Fax

(909) 481-5753

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Mind Body & Soul Family Therapy

  • Mental Health Counselor
  • Rancho Cucamonga, CA
  • NPI 1407425580
  NPD Authorized official
• Merrell Family Counseling, Inc.

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
  • NPI 1861938722
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1740847979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715",
            "city": "EHRENBERG",
            "state": "AZ",
            "postal_code": "853340715",
            "telephone_number": "909-303-0969",
            "fax_number": "909-481-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6371 HAVEN AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917376943",
            "telephone_number": "909-303-0969",
            "fax_number": "909-481-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2389 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334617",
            "country_code": "US",
            "telephone_number": "860-576-5056",
            "fax_number": "909-481-5753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "CRYSTAL",
        "middle_name": "DEANNA",
        "credential": "LMFT, CSCT, CST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "113418",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113418",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1407425580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenifer Andrea Ortiz
• Keilah Ortiz
• Moises Ortiz
• Sofia Alicia Ortiz
• Summer Ortiz
• Marisa Lissette Osegura
• Omar Karin Osorio Chiquito
• Jorge Alberto Osorio, DDS
• Mercy Osorio
• Michella C Osornio

• Mental Health Counselor in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.