CRYSTAL DEROSE NPI 1083155410

NPI Information

  • NPI: 1083155410
  • Provider Name: CRYSTAL DEROSE
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 781 FAR HILLS DR STE 600
    NEW FREEDOM, PA
    ZIP 17349
  • Phone: (717) 812-2560

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NPI Details

Crystal Derose is a professional counselor in New Freedom, PA with 13 years of experience. Crystal Derose NPI is 1083155410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

781 FAR HILLS DR STE 600
NEW FREEDOM, PA
ZIP 17349-404
Phone: (717) 812-2560
Fax: (717) 812-2569

The NPI 1083155410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/18/2017 and was last updated on 8/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalPC008595PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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