Organization Active NPI

Krystal Clear Counseling PLLC

  • Professional Counselor
  • Sterling Heights, MI
National Provider Identifier
1932842291
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KRYSTAL CLEAR COUNSELING PLLC
Practice address
13854 Lakeside Cir Ste 225
Sterling Heights, MI 48313-1443
Phone
(586) 339-5744
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Krystal Armstrong, MA LPC CADCNPI 1164845624
Title
Owner
Phone
(586) 339-5744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

13854 Lakeside Cir Ste 225
Sterling Heights, MI 48313-1443

Mailing address

13854 Lakeside Cir Ste 225
Sterling Heights, MI 48313-1443
Phone (586) 339-5744

Other identifiers 1

IdentifierTypeStateIssuer
6401011876OtherMILICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.krystalclearcounseling.com/ Direct

National Provider Directory

National Provider Directory

Locations

13854 Lakeside Cir
Ste 225
Sterling Heights, MI 48313
Phone (586) 339-5744

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1932842291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR STE 225",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131443",
            "telephone_number": "586-339-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR STE 225",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131443",
            "telephone_number": "586-339-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL CLEAR COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-339-5744",
        "authorized_official_credential": "MA LPC CADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "6401011876",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.krystalclearcounseling.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13854 Lakeside Cir Ste 225",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483131443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.