Individual provider Active NPI

Crystal R. Pasciak, MS, LPC

  • Mental Health Counselor
  • Clarkston, MI
National Provider Identifier
1891061909
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401012973 Issued in MI
Practice address
3604 Clarkston Rd Ste 102
Clarkston, MI 48348-5215
Phone
(248) 595-9969
Fax
(248) 814-0361
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401012973 MI Primary

Addresses

Primary practice location

3604 Clarkston Rd Ste 102
Clarkston, MI 48348-5215

Mailing address

2553 Cedar Key Dr
Lake Orion, MI 48360-1825
Phone (248) 320-2463

Other identifiers 8

IdentifierTypeStateIssuer
XX19153OtherMIHEALTHPLUS
018954OtherMIMIDWEST HEALTH PLAN
750910681OtherMIBCTR
750910681OtherMIBCOOS
000260F7OtherMIHAP
750910681OtherMIBCBSFED
750910681OtherMIBCMI
750910681OtherMIBCCHRYSLER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419003147 MI Practitioner - Mental Health Counselor 9133343197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Orion Counseling CenterGroup PAC ID 3870717838, 5 clinicians

Practice addresses (Care Compare)

3604 Clarkston Rd
Suite 102
Clarkston, MI 48348-5215
Phone (248) 595-9969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Organizations & group practices 1

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": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1891061909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 CEDAR KEY DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601825",
            "telephone_number": "248-320-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 CLARKSTON RD STE 102",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483485215",
            "telephone_number": "248-595-9969",
            "fax_number": "248-814-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCIAK",
        "first_name": "CRYSTAL",
        "middle_name": "R.",
        "credential": "MS,  LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "XX19153",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "018954",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCTR",
            "identifier": "750910681",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCOOS",
            "identifier": "750910681",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "000260F7",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFED",
            "identifier": "750910681",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMI",
            "identifier": "750910681",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCCHRYSLER",
            "identifier": "750910681",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.