CRYSTAL TROUT (NPI# 1134487291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134487291 |
| Entity Type | Individual |
| Full Name | CRYSTAL TROUT |
| Credential | M.ED |
| Practice Address |
8680 Rock Riffle Rd Athens OH 45701-9656 |
| Mailing Address |
3090 Glenfinnan Dr Albany OH 45710-9462 |
| Practice Telephone | 6064719713 |
| Mailing Telephone | 6064719713 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C1700413 | OH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 W Union St Ste D, Athens, OH 457018303 | 6064719713 | |
| 104 S Front Ave, Prestonsburg, KY 416531614 | 6068868572 | 6068864433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599675 | Crystal Dawn Trout | Licensed Practical Nurse | 300 E 20th St, Hope, AR 71801-8217 | 2020-08-20 |
| Street Address |
8680 ROCK RIFFLE RD |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-9656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457909582 | Heather Mitchell | Social Worker | 8680 Rock Riffle Rd, Athens, OH 45701-9656 | 2019-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251187 | Kara Archer | Counselor | 224 Columbus Rd # 724, Athens, OH 45701-1334 | 2020-10-06 |
| 1235696766 | Lotus Counseling Services of Athens, LLC | Counselor | 545 Research Dr Ste B, Athens, GA 30605-2745 | 2019-02-20 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1306344148 | Patsy Marie Jackson | Counselor | 847 Highway 154, Athens, LA 71003-3103 | 2018-01-26 |
| 1497297816 | Hannah Hall | Counselor | 367 Prince Ave Ste G, Athens, GA 30601-2471 | 2016-11-16 |
| 1477919199 | Bethany L. Fulton | Counselor | 530 W Union St Ste D, Athens, OH 45701-8303 | 2016-01-11 |
| 1568827616 | Wounded Healers Energy Center, LLC | Counselor | 187 E State St Ste C, Athens, OH 45701-1764 | 2015-12-16 |
| 1356715171 | Brandon Humphries | Counselor | 704 W Madison Ave, Athens, TN 37303-3428 | 2015-11-17 |
| 1245604164 | Jolie Daigle | Counselor | 232 Hidden Spring Way, Athens, GA 30605-5745 | 2015-11-16 |
| 1649664046 | Teresa Jan Thompson | Counselor | 2371 Green Gate Rd, Athens, TX 75752-5168 | 2015-03-24 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on CRYSTAL TROUT.
| 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.