Individual provider Active NPI

Crystal Cox, LPC

  • Professional Counselor
  • Moss Point, MS
National Provider Identifier
1972055408
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2391 Issued in MS
Practice address
4836 Main St
Moss Point, MS 39563-2700
Phone
(850) 218-0304
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2391 MS Primary

Addresses

Primary practice location

4836 Main St
Moss Point, MS 39563-2700

Mailing address

4836 Main St
Moss Point, MS 39563-2700
Phone (228) 235-2124

Other practice location 1

3407 Shamrock Ct
Gautier, MS 39553-5337
Phone (228) 497-0690

Other identifiers 1

IdentifierTypeStateIssuer
07579746MedicaidMS

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
2391MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling, LLC Professional Current Accepting new patients

Locations

4836 Main St
Moss Point, MS 39563
Phone (228) 278-5109

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1972055408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 MAIN ST",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395632700",
            "telephone_number": "228-235-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 MAIN ST",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395632700",
            "telephone_number": "850-218-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3407 Shamrock Ct",
            "address_purpose": "LOCATION",
            "city": "Gautier",
            "state": "MS",
            "postal_code": "395535337",
            "country_code": "US",
            "telephone_number": "228-497-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "CRYSTAL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07579746",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moss Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.