Individual provider Active NPI

Justin Lee Crymes, LMHC

  • Mental Health Counselor
  • Crawfordville, FL
National Provider Identifier
1811918832
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
21304 Issued in FL
Practice address
42 Linzy Store Rd
Crawfordville, FL 32327-2696
Phone
(850) 879-9648
NPI assigned
Jul 22, 2006
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 21304 FL Primary

Addresses

Primary practice location

42 Linzy Store Rd
Crawfordville, FL 32327-2696

Mailing address

42 Linzy Store Rd
Crawfordville, FL 32327-2696
Phone (850) 879-9648

Other practice location 1

1813 Cecil Webb Place
Boys Ranch, FL 32064-1550
Phone (386) 842-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220001491 FL Practitioner - Mental Health Counselor 7214371145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21304FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Justin Crymes Psychotherapy, LLC Mental Health CurrentSince Feb 1, 2024 Accepting new patients

Locations

1725 Capital Cir NE
Ste 206
Tallahassee, FL 32308
Phone (850) 404-9432

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1811918832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LINZY STORE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272696",
            "telephone_number": "850-879-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LINZY STORE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272696",
            "telephone_number": "850-879-9648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 Cecil Webb Place",
            "address_purpose": "LOCATION",
            "city": "Boys Ranch",
            "state": "FL",
            "postal_code": "320641550",
            "country_code": "US",
            "telephone_number": "386-842-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRYMES",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "21304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordville, FL

Sources for this page

Verify at the official NPI Registry.