Crystal A Davis, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

9599 Issued in ID

Practice address

818 S Washington St
Moscow, ID 83843-3049

Phone

(208) 882-8514

NPI assigned

Jun 27, 2023

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Crystal Davis Counseling LLC

  • Mental Health Counselor
  • Troy, ID
  • NPI 1629922265
  NPD Authorized official
• Weeks and Vietri Counseling & Community Services. PS

  • Professional Counselor
  • Moscow, ID
  • NPI 1538291554
  NPD

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1871279331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 S WASHINGTON ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433049",
            "telephone_number": "208-882-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 S WASHINGTON ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433049",
            "telephone_number": "208-882-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CRYSTAL",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "9599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Perry Cummings, O.D.
• Duane Dale
• Dalys Davenport, PHARMD
• Douglas Joel Davidson
• Alicia Davis
• Debby Lee Davis
• Jacqueline Davis, RDN
• Keith James Davis, LPC
• McKenzie Lynn Davis
• Shelbi Leanne Dawkins

• All providers in Moscow, ID
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.