Individual provider Active NPI

Christine Fyalka Krysa, LPC

  • Mental Health Counselor
  • Fort Mill, SC
National Provider Identifier
1790464899
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9831 Issued in SC
Practice address
1700 1St Baxter Xing Ste 204
Fort Mill, SC 29708-8954
Phone
(252) 518-4432
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9831 SC Primary

Addresses

Primary practice location

1700 1St Baxter Xing Ste 204
Fort Mill, SC 29708-8954

Mailing address

1700 1St Baxter Xing Ste 204
Fort Mill, SC 29708-8954
Phone (252) 518-4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 11, 2024 through Nov 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S7956NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1790464899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 1ST BAXTER XING STE 204",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088954",
            "telephone_number": "252-518-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 1ST BAXTER XING STE 204",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088954",
            "telephone_number": "252-518-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYSA",
        "first_name": "CHRISTINE",
        "middle_name": "FYALKA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.