Individual provider Active NPI

Crystal Ann Luvaul, LCDC-I

  • Addiction (Substance Use Disorder) Counselor
  • Alvin, TX
National Provider Identifier
1962174730
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
42324 Issued in TX
Practice address
365 N Shirley St
Alvin, TX 77511-5631
Phone
(832) 580-7101
Fax
(281) 867-6750
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 42324 TX Primary

Addresses

Primary practice location

365 N Shirley St
Alvin, TX 77511-5631

Mailing address

PO Box 2476
Pearland, TX 77588-2476

Other identifiers 1

IdentifierTypeStateIssuer
42324OtherTXLCDC-I

Other names 1

  • Crystal Ann Melzow Former name

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

State licenses

LicenseStateTypeSpecialty
42324TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1962174730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2476",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775882476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 N SHIRLEY ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775115631",
            "telephone_number": "832-580-7101",
            "fax_number": "281-867-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUVAUL",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "LCDC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "42324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCDC-I",
            "identifier": "42324",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "MELZOW",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alvin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.