Crystal Clear Counseling and Consulations

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1077648 Issued in NC

Legal business name

CRYSTAL CLEAR COUNSELING AND CONSULATIONS

Practice address

8236 Deer Dr
Harrisburg, NC 28075-9682

Phone

(704) 506-9635

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

J. Crystal Johnson, LPC

Title

Ceo

Phone

(704) 506-9635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1962769778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280750237",
            "telephone_number": "704-506-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8236 DEER DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280759682",
            "telephone_number": "704-506-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR COUNSELING AND CONSULATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "J. CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-506-9635",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1077648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Harrisburg, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.