Individual provider Active NPI

Crystal Lewis, LCAS-; LPC

  • Mental Health Counselor
  • Salisbury, NC
National Provider Identifier
1801218904
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10622 Issued in NC
Practice address
1933 Jake Alexander Blvd W Ste 102
Salisbury, NC 28147-1157
Phone
(704) 762-0074
NPI assigned
Jan 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 3447 NC
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 10622 NC Primary

Addresses

Primary practice location

1933 Jake Alexander Blvd W Ste 102
Salisbury, NC 28147-1157

Mailing address

1308 Hillsboro St
Salisbury, NC 28144-6506
Phone (704) 762-0074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1933 Jake Alexander Blvd W
Suite 102
Salisbury, NC 28147-1157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3447NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Days Counseling Services Addiction (Substance Use Disorder) CurrentSince Feb 23, 2020 Accepting new patients

Locations

1933 Jake Alexander Blvd W
Ste 201
Salisbury, NC 28147

1933 Jake Alexander Blvd W
Ste 102
Salisbury, NC 28147
Phone (704) 762-0074

Organizations & group practices 1

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": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1801218904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 HILLSBORO ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281446506",
            "telephone_number": "704-762-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 JAKE ALEXANDER BLVD W STE 102",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471157",
            "telephone_number": "704-762-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "LCAS-; LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3447",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.