Individual provider Active NPI

Crystal M Ferrara, LPC

  • Professional Counselor
  • Yorktown, VA
National Provider Identifier
1871776526
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004168 Issued in VA
Practice address
3630 George Washington Mem Hwy Ste F1
Yorktown, VA 23693-3350
Phone
(757) 204-1866
Fax
(757) 782-4004
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004168 VA Primary

Addresses

Primary practice location

3630 George Washington Mem Hwy Ste F1
Yorktown, VA 23693-3350

Mailing address

3630 George Washington Mem Hwy Ste F1
Yorktown, VA 23693-3350
Phone (757) 204-1866

Other identifiers 2

IdentifierTypeStateIssuer
004945395OtherVAVA PREMIER
004945395MedicaidVA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701004168VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jill M Nardin, LPC, PC Professional CurrentSince Oct 17, 2021 Accepting new patients
Genesis Counseling Center, Inc. Professional PastSince Nov 16, 2013 Accepting new patients
Eden Counseling Center PastSince Nov 3, 2009 Accepting new patients

Locations

3630 George Washington Mem Hwy
Ste F1
Yorktown, VA 23693
Phone (757) 204-1866

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1871776526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 GEORGE WASHINGTON MEM HWY STE F1",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933350",
            "telephone_number": "757-204-1866",
            "fax_number": "757-782-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 GEORGE WASHINGTON MEM HWY STE F1",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933350",
            "telephone_number": "757-204-1866",
            "fax_number": "757-782-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARA",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER",
            "identifier": "004945395",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945395",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.