Individual provider Active NPI

Crystal Schulze, M.S., LPC, LPCS, LAC

  • Professional Counselor
  • Summerville, SC
National Provider Identifier
1750716304
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6184 Issued in SC
Practice address
103B Harth PL
Summerville, SC 29485-8107
Phone
(843) 879-3520
Fax
(843) 879-2174
NPI assigned
Sep 13, 2013
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6184 SC
Professional Counselor 101YP2500X 6184 SC Primary

Addresses

Primary practice location

103B Harth PL
Summerville, SC 29485-8107

Mailing address

103B Harth PL
Summerville, SC 29485-8107
Phone (843) 879-3520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240103000492 SC Practitioner - Mental Health Counselor 4486984705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Compass Counseling LLCGroup PAC ID 3577893890, 7 clinicians

Practice addresses (Care Compare)

103 Harth PL
Suite B
Summerville, SC 29485-8107
Phone (843) 879-3520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6184SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling, LLC Mental Health CurrentSince Jul 11, 2019 Accepting new patients

Locations

103 Harth Pl
#B
Summerville, SC 29485
Phone (843) 879-3520

103B Harth Pl
Summerville, SC 29485
Phone (843) 619-2990

1668 Old Trolley Rd
Ste 203
Summerville, SC 29485

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1750716304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103B HARTH PL",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858107",
            "telephone_number": "843-879-3520",
            "fax_number": "843-879-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103B HARTH PL",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858107",
            "telephone_number": "843-879-3520",
            "fax_number": "843-879-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "CRYSTAL",
        "credential": "M.S., LPC, LPCS, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6184",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.