Active NPI
Crystal Ibarra, MS, LPC
- Professional Counselor
- Virginia Beach, VA
National Provider Identifier
1972243202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 82557
- Practice address
- 780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332 - Phone
- (571) 207-6246
- Fax
- (571) 888-3303
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC015719 | GA | |
| Professional Counselor | 101YP2500X | 235624 | AK | |
| Professional Counselor | 101YP2500X | 82557 | TX | Primary |
| Professional Counselor | 101YP2500X | 2023037004 | MO | |
| Professional Counselor | 101YP2500X | 10592 | LA |
Addresses
Primary practice location
780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332
Mailing address
780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332
Phone (571) 207-6246
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 830130954 | Medicaid | MO | |
| 1972243202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235624 | AK | MD | Professional Counselor |
| LPC015719 | GA | MD | Professional Counselor |
| 2023037004 | MO | MD | Professional Counselor |
| 82557 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
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": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1972243202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 LYNNHAVEN PKWY STE 400",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527332",
"telephone_number": "571-207-6246",
"fax_number": "571-888-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 LYNNHAVEN PKWY STE 400",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527332",
"telephone_number": "571-207-6246",
"fax_number": "571-888-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBARRA",
"first_name": "CRYSTAL",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC015719",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "235624",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "82557",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2023037004",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "10592",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "830130954",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972243202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.