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CRYSTAL CREEK COUNSELING NPI 1124553102


NPI Information

NPI: 1124553102
Provider Name: CRYSTAL CREEK COUNSELING
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
400 W MIDLAND AVE
WOODLAND PARK, CO
ZIP 80863
Phone: (719) 640-5344
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CRYSTAL CREEK COUNSELING is a professional counselor in Woodland Park, CO. CRYSTAL CREEK COUNSELING NPI is 1124553102. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 W MIDLAND AVE
WOODLAND PARK, CO
ZIP 80863-144
Phone: (719) 640-5344

The provider's authorized official is Jerilyn Yingling .
The authorized official title is Owner/clinician and has the following contact phone number (719) 686-6703.

The enumeration date for this NPI number is 4/27/2017 and was last updated on 8/15/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalLPC.0012668COLORADOYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.