Active NPI
Crystal Clarity Counseling Services
- Mental Health Counselor
- Jacksonville, NC
National Provider Identifier
1972196988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CRYSTAL CLARITY COUNSELING SERVICES
- Practice address
- 237 New River Dr Ste 3
Jacksonville, NC 28540-5935 - Phone
- (910) 333-1031
- Fax
- (910) 333-1108
- NPI assigned
- Feb 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Siriano, LCMHC
- Title
- Owner/Counselor
- Phone
- (910) 333-1031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
237 New River Dr Ste 3
Jacksonville, NC 28540-5935
Mailing address
PO Box 7
Jacksonville, NC 28541-0007
Phone (910) 333-1031
Other practice location 1
715 Gum Branch Rd Ste 1
Jacksonville, NC 28540-6427
Phone (412) 552-0572
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114277027 | Other | NC | BLUE CROSS BLUE SHIELD |
| 11142777027 | Other | NC | AETNA |
| 1114277027 | Other | NC | TRICARE |
| 1114277027 | Other | NC | EMPLOYEE ASSISTANCE PROGRAM |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | support@crystalclaritycs.com | Direct | |
| Direct Messaging Address | support@crystalclaritycs.com | Direct |
National Provider Directory
National Provider DirectoryLocations
715 Gum Branch Rd
Ste 1
Jacksonville, NC 28540
Phone (412) 552-0572
237 New River Dr
Ste 3
Jacksonville, NC 28540
Phone (910) 333-1031
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Jacksonville, NC
- NPI 1851053938
-
- Professional Counselor
- Jacksonville, NC
- NPI 1770124430
-
- Clinical Social Worker
- Jacksonville, NC
- NPI 1407573173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724457600000",
"number": "1972196988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285410007",
"telephone_number": "910-333-1031",
"fax_number": "910-333-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 NEW RIVER DR STE 3",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285405935",
"telephone_number": "910-333-1031",
"fax_number": "910-333-1108"
}
],
"practiceLocations": [
{
"address_1": "715 Gum Branch Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285406427",
"country_code": "US",
"telephone_number": "412-552-0572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CRYSTAL CLARITY COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-19",
"last_updated": "2024-08-24",
"certification_date": "2024-08-24",
"status": "A",
"authorized_official_last_name": "SIRIANO",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/COUNSELOR",
"authorized_official_telephone_number": "910-333-1031",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1114277027",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "11142777027",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1114277027",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE ASSISTANCE PROGRAM",
"identifier": "1114277027",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "support@crystalclaritycs.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "715 Gum Branch Rd Ste 1",
"city": "Jacksonville",
"state": "NC",
"country_code": "US",
"postal_code": "285406427",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "support@crystalclaritycs.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "237 New River Dr Ste 3",
"city": "Jacksonville",
"state": "NC",
"country_code": "US",
"postal_code": "285405935",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.