Individual provider Active NPI

Crystal C Ficker

  • Mental Health Counselor
  • Black Mountain, NC
National Provider Identifier
1801469648
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C008796 Issued in NC
Practice address
56 Beech Glen Dr
Black Mountain, NC 28711-9746
Phone
(828) 505-5636
NPI assigned
Jul 20, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 C008796 NC Primary

Addresses

Primary practice location

56 Beech Glen Dr
Black Mountain, NC 28711-9746

Mailing address

56 Beech Glen Dr
Black Mountain, NC 28711-9746
Phone (828) 686-3451

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hello@liftedup.sprucecare.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C008796NCMDMental Health Counselor

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1801469648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BEECH GLEN DR",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119746",
            "telephone_number": "828-686-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BEECH GLEN DR",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119746",
            "telephone_number": "828-505-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKER",
        "first_name": "CRYSTAL",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C008796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hello@liftedup.sprucecare.com",
            "affiliation": "N",
            "address_1": "56 Beech Glen Dr",
            "city": "Black Mountain",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287119746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.