Crystal Oliver, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.150408-PRE Issued in OH

Practice address

1225 Woodlawn Ave
Suite 104
Cambridge, OH 43725-3094

Phone

(855) 692-7247

Fax

(855) 692-7247

NPI assigned

Oct 19, 2015

Last updated

Oct 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1952772709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WOODLAWN AVE",
            "address_2": "SUITE 104",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253094",
            "telephone_number": "855-692-7247",
            "fax_number": "855-692-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WOODLAWN AVE",
            "address_2": "SUITE 104",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253094",
            "telephone_number": "855-692-7247",
            "fax_number": "855-692-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "CRYSTAL",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.150408-PRE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ohio Retina Associates, Inc.
• Ohio Valley Educational Service Center
• Kayode A Ojedele, MD
• Roberto Castillo Olayvar, PT
• Judith Olden
• Lorraine A Oliver, MED, LPCC
• Jacob J Orahoske
• Osu Pathology Services, LLC (dba Southeastern Pathology Services)
• Tracy Owens, MOT, OTR/L
• Shaela S Paboucek

• Addiction (Substance Use Disorder) Counselor in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.