CRYSTAL CLANCY (NPI# 1578703559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578703559 |
| Entity Type | Individual |
| Full Name | CRYSTAL CLANCY |
| Credential | MA, LMFT, PMH-C |
| Practice Address |
101 W Burnsville Pkwy Ste 207 Burnsville MN 55337-0010 |
| Mailing Address |
1500 Mcandrews Rd W Ste 212 Burnsville MN 55337-4445 |
| Practice Telephone | 6125484266 |
| Practice Fax Number | 9526866966 |
| Mailing Telephone | 6125484266 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1592 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1578703559 | 05 |
| Street Address |
101 W BURNSVILLE PKWY STE 207 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023528213 | Stages Counseling & Consultation Services | Counselor | 101 W Burnsville Pkwy Ste 207, Burnsville, MN 55337-0010 | 2017-10-03 |
| 1083914121 | Frank Joseph Brumme | Counselor | 101 W Burnsville Pkwy Ste 207, Burnsville, MN 55337-0010 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945539 | Sapphire Counseling & Therapeutic Services Pllc | Marriage & Family Therapist | 760 Southcross Dr W Ste 103, Burnsville, MN 55306-7916 | 2019-04-09 |
| 1750867537 | Lindsey Fritz | Marriage & Family Therapist | 190 S River Ridge Cir # 208, Burnsville, MN 55337-1627 | 2018-07-16 |
| 1619472461 | Hope Tree Therapy and Wellness, Pllc | Marriage & Family Therapist | 1713 Southcross Dr W, Burnsville, MN 55306-7012 | 2018-03-26 |
| 1417465253 | Lynda M Koehler | Marriage & Family Therapist | 3000 County Road 42 W Ste 313, Burnsville, MN 55337-4824 | 2018-01-15 |
| 1164898169 | Stages Counseling & Consultation Services | Marriage & Family Therapist | 1500 Mcandrews Rd W Ste 212, Burnsville, MN 55337-4445 | 2015-08-13 |
| 1861871709 | Doorway Counseling | Marriage & Family Therapist | 14041 Burnhaven Dr Ste 145, Burnsville, MN 55337-4408 | 2015-05-26 |
| 1174914550 | Julie R. Anderson | Marriage & Family Therapist | 14051 Burnhaven Dr Ste 105, Burnsville, MN 55337-4400 | 2015-02-06 |
| 1396161154 | Matthew Nelson | Marriage & Family Therapist | 2100 County Road 42 W, Burnsville, MN 55337-6913 | 2014-03-17 |
| 1568733061 | Foundations Family Therapy, LLC | Marriage & Family Therapist | 14041 Burnhaven Dr Ste 112, Burnsville, MN 55337-4450 | 2012-01-16 |
| 1285942797 | Bradley Bychinski | Marriage & Family Therapist | 1664 Cliff Rd E, Burnsville, MN 55337-1300 | 2010-09-17 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.