Crystal Roxanne Lee, CADC I, MATC, CAPMS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12-09-25 Issued in OR

Practice address

418 NW 6TH St
Grants Pass, OR 97526-2006

Phone

(541) 474-1033

Fax

(541) 474-0770

NPI assigned

Jan 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Success Consultants of Southern Oregon

  • Addiction (Substance Use Disorder) Counselor
  • Grants Pass, OR
  • NPI 1447862065
  NPD Authorized official

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1851758783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 NW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262006",
            "telephone_number": "541-474-1033",
            "fax_number": "541-474-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 NW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262006",
            "telephone_number": "541-474-1033",
            "fax_number": "541-474-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CRYSTAL",
        "middle_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "CADC I, MATC, CAPMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "12-09-25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Graham Leblanc, RPH
• Thomas R Leblanc, CRNA
• Jerome Lecain, B.S.
• Ledesma Chiropractic, Inc
• Jed Ledesma, D.D.S.
• Kaila Nicole Lee
• Lauren Lee
• Zara Desmond Lee
• Zhuo-Yan Lee, DPT
• Sonder Kymberly Legari, CIT

• Addiction (Substance Use Disorder) Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.