Crystal Lee Stewart, MA, LLPC, CBIS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401018658 Issued in MI

Practice address

20500 Eureka Rd Ste 200
Taylor, MI 48180-6394

Phone

(734) 285-8282

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Lee Joseph Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: purepsychiatryofmichigan.crystalstewart@153418.advancedmd-direct.com

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1851991640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36991 GREENBUSH RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841128",
            "telephone_number": "734-657-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20500 EUREKA RD STE 200",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806394",
            "telephone_number": "734-285-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MA, LLPC, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "JOSEPH",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Renee Stephenson
• Leonard Lee Stephenson
• Steven F. Shwedel DDS PC
• Elisha Stevens
• Keri Stevenson, BSN, BS, RN
• Eric Stewart
• James C. Stewart, DDS
• Bradley Christopher Stieper, D.D.S., M.S.
• Juan Stinson
• Pamela Ellen Stolz, LMSW

• Counselor in Taylor, MI
• Providers in Taylor, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.