Crystal Eaton, LCMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1171 Issued in NH

Practice address

76 Northeastern Blvd Ste 32B
Nashua, NH 03062-3196

Phone

(978) 419-1781

NPI assigned

Jan 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Crystal Eaton Lcmhc LLC

  • Mental Health Counselor
  • Nashua, NH
  • NPI 1598397697
  Medicare reassignment NPD Authorized official
• Easter Seals New Hampshire, Inc

  • Developmental Disabilities Clinic/Center
  • Manchester, NH
  • NPI 1730251430
  NPD (past)

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1972961498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 NORTHEASTERN BLVD STE 32B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623196",
            "telephone_number": "978-419-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NORTHEASTERN BLVD STE 32B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623196",
            "telephone_number": "978-419-1781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Zachary Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031095607",
            "country_code": "US",
            "telephone_number": "603-206-6649",
            "fax_number": "603-647-8426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NH",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Renal Healthcare Inc
• Jennifer Dvareckas
• Sarena Dyac, MS
• E William Frank MD Dermatology Associates of S NH
• Melissa M Eames, PA-C
• Matthew Ebbighausen
• Erika Beth Ebert, M.D.
• Alyssa Mary Ebright, DMD
• Kayleigh Jeannette Eckenrode, MS. OTR/L
• Jodi Eddy, PT

• Counselor in Nashua, NH
• Providers in Nashua, NH by specialty
• Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.

Verify at the official NPI Registry.