Jennifer Page Crystal, PH.D., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401005542 Issued in MI

Practice address

1231 Gambell St Ste 300
Anchorage, AK 99501-4664

Phone

(907) 333-4343

Fax

(907) 333-4843

NPI assigned

Feb 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, MI2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Choices, Inc.

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1962583625

  AK, Multi-Specialty

  Medicare reassignment NPD
• Blue Water Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Gratiot, MI
  • NPI 1457305419

  MI, Professional

  Medicare reassignment NPD
• Choices, Inc

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1811511124

  Mental Health

  NPD (past)
• Karuna Counseling, LLC

  • Professional Counselor
  • Anchorage, AK
  • NPI 1265196927

  Professional

  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1750829263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 CAMBOURNE PL",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224102",
            "telephone_number": "248-331-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 GAMBELL ST STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995014664",
            "telephone_number": "907-333-4343",
            "fax_number": "907-333-4843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Canfield St Ste 315",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482011914",
            "country_code": "US",
            "telephone_number": "313-577-1463",
            "fax_number": "313-577-0361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRYSTAL",
        "first_name": "JENNIFER",
        "middle_name": "PAGE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "229925",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401005542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Anchorage, AK
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.