Crystal Capitan
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Banning, CA
NPI 1942018403 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1942018403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1035 W Ramsey St Ste a
Banning, CA 92220-4400 - Phone
- (951) 683-6596
- NPI assigned
- Dec 30, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1035 W Ramsey St Ste a
Banning, CA 92220-4400
Mailing address
5870 Arlington Ave
Riverside, CA 92504-2037
Phone (951) 683-6596
Other practice location 1
1035 W Ramsey St Ste A
Banning, CA 92220-4400
Phone (951) 849-3896
Other providers in Banning, CA
- California Addiction Treatment Center LLC
- California Em-I Medical Services a Medical Corporation
- California Neonatology Services a Medical Corporation
- Colleen Callahan
- Craig F Callam
- Diana Cardenas
- Laura Cardenas
- Samara Yael Cardona Espinoza
- Careridesolutions
- Benjamin Patrick Carrillo-Sanchez
All providers in Banning, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.