Individual provider Active NPI

Crystal Folk

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1972989408
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
117308 Issued in CA
Practice address
1950 Market St
Riverside, CA 92501-1720
Phone
(951) 530-5930
NPI assigned
Aug 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 96077 CA
Marriage & Family Therapist 106H00000X 117308 CA Primary

Addresses

Primary practice location

1950 Market St
Riverside, CA 92501-1720

Mailing address

1950 Market St
Riverside, CA 92501-1720
Phone (515) 305-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240215000969 CA Practitioner - Marriage and Family Therapist 6901240274 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117308CAMDSocial Worker
96077CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Psychology Group, a Professional Corporation CurrentSince Jan 1, 2024 Accepting new patients
Soultenders, Inc. CurrentSince Jun 19, 2024 Accepting new patients
Soultenders Psychological Services, Inc. PastSince Jun 29, 2026 Accepting new patients
Childnet Youth and Family Services, Inc. PastSince Nov 9, 2021 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

41760 Ivy St
Ste 204
Murrieta, CA 92562
Phone (951) 682-1488

3880 Lemon St
Ste 500
Riverside, CA 92501
Phone (951) 530-1299

5051 Canyon Crest Dr
Ste 204
Riverside, CA 92507
Phone (951) 682-1488

555 Marin St
Ste 180
Thousand Oaks, CA 91360
Phone (626) 701-4249

Organizations & group practices 4

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1972989408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 MARKET ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011720",
            "telephone_number": "515-305-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MARKET ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011720",
            "telephone_number": "951-530-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLK",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "96077",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.