CRYSTAL DEROSE (NPI# 1083155410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083155410 |
| Entity Type | Individual |
| Full Name | CRYSTAL DEROSE |
| Practice Address |
306 N 7th St Columbia PA 17512-2137 |
| Practice Telephone | 7175603782 |
| Practice Fax Number | 7175603787 |
| Mailing Telephone | 7175603782 |
| Mailing Fax Number | 7175603787 |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | PC008595 | PA | Behavioral Health & Social Service Providers |
| Street Address |
306 N 7TH ST |
| City | COLUMBIA |
| State | PA |
| Zip Code | 17512-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760455638 | Jennifer Brighter | Family Medicine | 306 N 7th St, Columbia, PA 17512-2137 | 2006-02-09 |
| 1003358474 | Laura Lash | Physician Assistant | 306 N 7th St, Columbia, PA 17512-2137 | 2016-11-16 |
| 1962805010 | Stacey L Burroughs | Counselor | 306 N 7th St, Columbia, PA 17512-2137 | 2014-10-03 |
| 1083026702 | Thomas C Coyne | Family Medicine | 306 N 7th St, Columbia, PA 17512-2137 | 2014-05-29 |
| 1871922179 | Sherrie-an Gerhart | Social Worker | 306 N 7th St, Columbia, PA 17512-2137 | 2013-11-06 |
| 1225370299 | Karen M. Bramley | Social Worker | 306 N 7th St, Columbia, PA 17512-2137 | 2013-03-18 |
| 1710228713 | Caroline M. Barnhart | Social Worker | 306 N 7th St, Columbia, PA 17512-2137 | 2013-03-15 |
| 1528304284 | Margaret M Krumm | Physician Assistant | 306 N 7th St, Columbia, PA 17512-2137 | 2012-12-27 |
| 1447517776 | Tracy Ann Kellenberger | Physician Assistant | 306 N 7th St, Columbia, PA 17512-2137 | 2012-04-11 |
| 1356660906 | Adrienne K Kuhlengel | Family Medicine | 306 N 7th St, Columbia, PA 17512-2137 | 2010-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912405515 | Alyssa Carter | Counselor | 610 Poplar Street, Columbia, PA 17512 | 2018-01-29 |
| 1598943276 | Tw Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 200 North Fifth Street, Columbia, PA 17512 | 2008-02-05 |
| 1821275140 | T W Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 50 South Sixth Street, Columbia, PA 17512 | 2008-01-29 |
| 1447431382 | David H Landis | Chiropractor | 547 Locust St, Columbia, PA 17512 | 2007-11-20 |
| 1902940976 | Drug and Alcohol Rehabiliation Services, Inc. | Clinic/Center | 1290 Prospect Road, Columbia, PA 17512 | 2007-02-16 |
| 1790791580 | Blake Keith Staker | Chiropractor | 46 South 18th Street, Columbia, PA 17512 | 2006-07-31 |
| 1942266630 | William Brian Kraft | Chiropractor | 501 S 9th St, Columbia, PA 17512 | 2006-04-22 |
| 1063954501 | Kelsey Czekai | Family Medicine | 369 Locust Street, First Floor, Columbia, PA 17512 | 2016-11-15 |
| 1982009981 | 4urx | Pharmacy | 960 Lancaster Ave, Ste 2 Rear, Columbia, PA 17512 | 2014-11-03 |
| 1194994830 | Landis Family Chiropractic | Chiropractor | 547 Locust St, Columbia, PA 17512 | 2008-02-27 |
| Find all providers in zip 17512 | ||||
| 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 |
|---|---|---|---|---|
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1750988804 | Teresa Q Harris | Counselor | 1024 Bradford Ridge Ln, Columbia, SC 29223-7143 | 2020-10-01 |
| 1407491830 | Mariah Keathley | Counselor | 201 W Broadway Ste 2f, Columbia, MO 65203-3842 | 2019-11-08 |
| 1962058719 | Lindsey Howard | Counselor | 610 Poplar St, Columbia, PA 17512-2101 | 2019-08-16 |
| 1174085138 | Debra A Parker | Counselor | 100 Ashland Park Ln Ste K, Columbia, SC 29210-5100 | 2019-04-01 |
| 1881152817 | Change Your Reality | Counselor | 729 True St Apt 3, Columbia, SC 29209-1659 | 2019-03-08 |
| 1104393487 | Makida Bey | Counselor | 9850 Softwater Way, Columbia, MD 21046-1887 | 2018-10-25 |
| 1942788542 | Holistic Health Advancements, LLC | Counselor | 9005 Two Notch Rd Ste 4, Columbia, SC 29223-5851 | 2018-08-06 |
| 1811483761 | Live.balanced.life.llc | Counselor | 5305 Village Center Dr Ste 176, Columbia, MD 21044-2382 | 2018-07-03 |
| 1053811729 | Sarah Ann Galatta | Counselor | 2024 Cherry Hill Dr # 201c, Columbia, MO 65203-5921 | 2018-02-19 |
| Find all providers in COLUMBIA | ||||
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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.