Active NPI
Chrystal Cunningham, MSW, LCSW
- Counselor
- Margate, FL
National Provider Identifier
1992177703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2601 N Rock Island Rd Apt 105
Margate, FL 33063-1223 - Phone
- (954) 242-8560
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2601 N Rock Island Rd Apt 105
Margate, FL 33063-1223
Mailing address
1925 S Perimeter Rd
Fort Lauderdale, FL 33309-7122
Phone (954) 958-0988
Other practice location 1
1925 S Perimeter Rd
Fort Lauderdale, FL 33309-7122
Phone (954) 958-0988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W2206 31239 | Medicaid | FL |
Other names 1
- Ms. Chrystal Yau
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camelot Community Care | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1639413859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1992177703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 S PERIMETER RD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333097122",
"telephone_number": "954-958-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N ROCK ISLAND RD APT 105",
"city": "MARGATE",
"state": "FL",
"postal_code": "330631223",
"telephone_number": "954-242-8560"
}
],
"practiceLocations": [
{
"address_1": "1925 S Perimeter Rd",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333097122",
"country_code": "US",
"telephone_number": "954-958-0988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "CHRYSTAL",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W2206 31239",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRYSTAL",
"last_name": "YAU",
"prefix": "MS.",
"credential": "MSW, LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Margate, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.