Crystal Shi Yeong Jo, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001724 Issued in NY

Practice address

243 Nassau Blvd South
Garden City, NY 11530

Phone

(862) 294-3011

NPI assigned

Nov 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keystone Marriage and Family Therapy, PLLC

  • Marriage & Family Therapist
  • Little Neck, NY
  • NPI 1487503389
  NPD Authorized official
• Community Counseling Services of West Nassau, Inc.

  • Community/Behavioral Health Agency
  • Franklin Square, NY
  • NPI 1033279963
  NPD

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1841836871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NASSAU BLVD SOUTH",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305532",
            "telephone_number": "862-294-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NASSAU BLVD SOUTH",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "862-294-3011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Dogwood Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Franklin Square",
            "state": "NY",
            "postal_code": "110103400",
            "country_code": "US",
            "telephone_number": "516-505-1717 x12",
            "fax_number": "516-505-1627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JO",
        "first_name": "CRYSTAL",
        "middle_name": "SHI YEONG",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P103756",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Carlene Janowitz, PT,DPT
• Mary Adele Jansen, R.N.
• Julianna E Jaycox
• Erin Jefferson
• Shu Jing
• Sanjay P Jobanputra, M.D.
• Amanda Joglar, LMSW
• Rupinder Johal, M.D.
• Alicia John, PTA
• Koshy John, DPT, PTA, MS, ATC

• Marriage & Family Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.