Active NPI
Krystal Gore Stromstad, LMFT
- Marriage & Family Therapist
- Valdosta, GA
National Provider Identifier
1821427113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT3235
- Practice address
- 3120 N Oak St
Valdosta, GA 31602-1003 - Phone
- (229) 671-6100
- Fax
- (229) 671-6774
- NPI assigned
- Nov 6, 2013
- Last updated
- Jun 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT3235 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | 001311 | GA |
Addresses
Primary practice location
3120 N Oak St
Valdosta, GA 31602-1003
Mailing address
1063 Uss Tennessee Ave BLDG 1051
Kings Bay, GA 31547-2602
Phone (912) 573-3624
Other practice location 1
820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207
Phone (904) 376-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001311 | Other | GA | 001311 |
Other names 1
- Krystal Wynne Gore
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001311 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1821427113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 USS TENNESSEE AVE BLDG 1051",
"city": "KINGS BAY",
"state": "GA",
"postal_code": "315472602",
"telephone_number": "912-573-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 N OAK ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021003",
"telephone_number": "229-671-6100",
"fax_number": "229-671-6774"
}
],
"practiceLocations": [
{
"address_1": "820 Prudential Dr Ste 510",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078207",
"country_code": "US",
"telephone_number": "904-376-3800",
"fax_number": "904-376-3998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STROMSTAD",
"first_name": "KRYSTAL",
"middle_name": "GORE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT3235",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "001311",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "001311",
"identifier": "001311",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRYSTAL",
"last_name": "GORE",
"middle_name": "WYNNE",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.