Active NPI
Crystal Czubernat, MA, LMHC
- Mental Health Counselor
- Sierra Madre, CA
National Provider Identifier
1942910948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 217 W Highland Ave
Sierra Madre, CA 91024-1812 - Phone
- (626) 808-3649
- NPI assigned
- Nov 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
217 W Highland Ave
Sierra Madre, CA 91024-1812
Mailing address
217 W Highland Ave
Sierra Madre, CA 91024-1812
Phone (626) 808-3649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH00011196 | Other | WA | LMHC |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1942910948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 W HIGHLAND AVE",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910241812",
"telephone_number": "626-808-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W HIGHLAND AVE",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910241812",
"telephone_number": "626-808-3649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZUBERNAT",
"first_name": "CRYSTAL",
"credential": "MA, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "LH00011196",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sierra Madre, CA
- Cynthia Cooper
- Core Behavioral Healthlicensed Marriage & Family Therapy Inc.
- Gustavo Corona Jr., OTR/L
- Linda Crawford, DO
- Lorrie Hill Crawford, PSY.D.
- Isabella Marie Daher, PHARMD
- Dan Tien Nguyen, DDS, Apc
- Deborah Sinnette-Baird, Licensed Professional Clinical Counselor, PC
- Sona Delurgio, M.A., MFT
- Wendy Jansky Deneen, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.