Alexis Ann Crytzer

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19920 Issued in FL

Practice address

2615 W 23Rd St
Panama City, FL 32405-2339

Phone

(850) 331-0134

NPI assigned

Jun 1, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• The Legacy House PLLC

  • Multi-Specialty Clinic/Center
  • Panama City, FL
  • NPI 1932734845
  NPD

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1760058697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 PETTY DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444708",
            "telephone_number": "724-980-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052339",
            "telephone_number": "850-331-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYTZER",
        "first_name": "ALEXIS",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenalyn M. Cromwell, M.S., CCC-SLP
• Nicholas W Crossman, D.O.
• Brandon Crowdis
• Crowne Builders LLC
• Crystal McVay Primary Care LLC
• Gabriela M Cuebas, DMD
• Kaneshia Cummings
• Anthony John Curole II, CRNA
• McKenna Grace Cutchin
• Robbie S Cutler, MS LMHC

• Mental Health Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.