MS. CRYSTAL DUANE JOHNSON (NPI# 1942571153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942571153 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL DUANE JOHNSON |
| Credential | M.S. |
| Practice Address |
401 E Front Street Suite 139 Tyler TX 75701-1608 |
| Mailing Address |
814 S. Broadway Ave. Tyler TX 75701 |
| Practice Telephone | 9035708513 |
| Practice Fax Number | 9035330673 |
| Mailing Telephone | 9035708513 |
| Mailing Fax Number | 9035330673 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 9187 | TX | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0831-0991 | TX | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 88 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823461 | Crystal Johnson | Prosthetic/Orthotic Supplier | 812 S Flower St Apt 4, Inglewood, CA 90301-7913 | 2020-08-25 |
| 1548871940 | Crystal Johnson | Social Worker | 43 Whitman St # 2, Somerville, MA 02144-1615 | 2020-08-11 |
| 1003436429 | Crystal K Johnson | In Home Supportive Care | 894 E 223rd St, Euclid, OH 44123-3302 | 2020-04-26 |
| 1982121588 | Crystal Johnson | Behavioral Analyst | 20145 Serrano Rd, Apple Valley, CA 92307-2608 | 2017-08-24 |
| 1033662465 | Crystal Johnson | Technician, Other | 2178 Trafalger St, East Lansing, MI 48823-1329 | 2016-08-02 |
| 1043682420 | Crystal Johnson | Counselor | 1303 Commerce Dr, Peachtree City, GA 30269-3566 | 2015-10-26 |
| 1932412673 | Crystal Aurice Johnson | Dentist | 5780 Ch James Parkway, Suite 280, Powder Springs, GA 30127-0000 | 2010-07-23 |
| 1326209271 | Crystal Johnson | Speech-Language Pathologist | 10603 Flatlands Ave, Brooklyn, NY 11236-2922 | 2008-06-23 |
| 1912110685 | Crystal L. Johnson | Dentist | 1412 Barnwell St, Columbia, SC 29201-3512 | 2007-05-08 |
| 1306839956 | Crystal J Johnson | Dietitian, Registered | 11608 N Kathy Dr, Spokane, WA 99218-2725 | 2005-08-30 |
| Street Address |
401 E FRONT STREET SUITE 139 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760956130 | Keely Burks | Counselor | 1698 W Grande Blvd, Tyler, TX 75703-4426 | 2019-01-17 |
| 1396109294 | Amy Furqueron | Counselor | 2003 Rickety Ln Ste E, Tyler, TX 75703-1704 | 2016-04-07 |
| 1366809287 | Anita Smith X | Counselor | 1817 Wsw Loop 323, Tyler, TX 75701-8426 | 2016-01-22 |
| 1053734129 | Raymond Perales Martinez | Counselor | 3919 Belle Mere St, Tyler, TX 75701-6704 | 2014-01-27 |
| 1417565110 | Rachel Renee Spurgeon | Counselor | 120 W 5th St Ste 105, Tyler, TX 75701-4053 | 2020-07-20 |
| 1962020412 | Denise N Hazen | Counselor | 3800 Paluxy Dr Ste 240, Tyler, TX 75703-1667 | 2020-07-10 |
| 1275003410 | Molly Moore | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2018-11-30 |
| 1801385653 | Margaret Elaine Eckhardt | Counselor | 218 N College Ave, Tyler, TX 75702-5715 | 2018-05-08 |
| 1609267962 | Janus Children Services Inc | Counselor | 3800 Paluxy Dr, Suite 150, Tyler, TX 75703-1629 | 2015-02-09 |
| 1538487541 | Amy Michelle Wilson | Counselor | 409 W Locust St, Tyler, TX 75702-5644 | 2010-05-14 |
| Find all providers in TYLER | ||||
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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.