Individual provider Active NPI

Crystal Louise Garrison, ARNP/FAMILY PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1780017525
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60355508 Issued in WA
Practice address
1404 NE 134TH St Ste 180-C
Vancouver, WA 98685-2799
Phone
(360) 870-5757
Fax
(832) 336-3790
NPI assigned
Aug 15, 2013
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60355508 WA Primary

Addresses

Primary practice location

1404 NE 134TH St Ste 180-C
Vancouver, WA 98685-2799

Mailing address

1404 NE 134TH St Ste 180-C
Vancouver, WA 98685-2799
Phone (360) 870-5757

Other names 1

  • Crystal Louise Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212003045 OR Practitioner - Nurse Practitioner 2961637582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1700 NW Civic Dr
Suite 310
Gresham, OR 97030-3774
Phone (503) 666-8832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paths to Mental Wellness LLC Psychiatric/Mental Health CurrentSince Nov 7, 2025 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince Sep 29, 2018 Accepting new patients

Locations

9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005
Phone (503) 626-9494

870 82nd Dr
Gladstone, OR 97027
Phone (503) 272-8031

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

890 82nd Dr
Gladstone, OR 97027
Phone (503) 659-5515

1700 NW Civic Dr
Ste 310
Gresham, OR 97030
Phone (503) 666-8832

12636 SE Stark St
Bldg J
Portland, OR 97233
Phone (503) 253-4600

3500 NE Mlk Jr Blvd
Ste 200
Portland, OR 97212
Phone (503) 327-8205

18765 SW Boones Ferry Rd
Ste 100
Tualatin, OR 97062
Phone (503) 612-1000

1404 NE 134th St
Ste 180C
Vancouver, WA 98685
Phone (360) 450-5778

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

2103 NE 129th St
Ste 101
Vancouver, WA 98686
Phone (360) 574-0303

7507 NE 51st St
Vancouver, WA 98662
Phone (360) 906-1190

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.crystalgarrison@148835.advancedmd-direct.com

Organizations & group practices 2

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780017525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 NE 134TH ST STE 180-C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852799",
            "telephone_number": "360-870-5757",
            "fax_number": "832-336-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 NE 134TH ST STE 180-C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852799",
            "telephone_number": "360-870-5757",
            "fax_number": "832-336-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "CRYSTAL",
        "middle_name": "LOUISE",
        "credential": "ARNP/FAMILY PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60355508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "THOMPSON",
            "middle_name": "LOUISE",
            "credential": "WA RN & OREGON RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.