Crystal Dawn Koop

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

136986 Issued in CA

Practice address

4221 Wilshire Blvd Ste 230
Los Angeles, CA 90010-3554

Phone

(213) 441-6780

NPI assigned

Oct 3, 2023

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

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1760262075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15560 CHATEAU MONTELENA DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933145341",
            "telephone_number": "661-301-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103554",
            "telephone_number": "213-441-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOP",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Koolwijk, M.D.
• Mary Jane Koon, FNP
• Christina Koonce
• Laura Koonce, LMFT
• Nicole Koontz
• Emily Koop
• Karel William Kooper, M.D.
• Melanie Hope Koopman-Glass, L.C.S.W.
• Soheil Kooraki, MD
• Sara Koorjee, ND

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.