MRS. CRYSTAL REEVES (NPI# 1154875730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154875730 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL REEVES |
| Other Name | MS. CRYSTAL SHOHATEE |
| Credential | IMFT |
| Practice Address |
2865 Logan Ave San Diego CA 92113-2411 |
| Practice Telephone | (619) 232-4357 |
| Mailing Telephone | (619) 232-4357 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 93727 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9171 Towne Centre Dr, Suite 215, San Diego, CA 921221234 | 9498642365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068971 | Crystal Reeves | Pharmacist | 3800 Princeton Lakes Pkwy Sw, Atlanta, GA 30331-5580 | 2019-08-15 |
| 1912260688 | Crystal Reeves | Speech-Language Pathologist | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2012-06-19 |
| Street Address |
2865 LOGAN AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659445815 | Joanne Lorraine Miller | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2006-11-20 |
| 1518575844 | Long Wang | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-07-22 |
| 1609484559 | Caitlin Donnelly | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-07-16 |
| 1194342816 | Laurel Thiel Silver | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-06-29 |
| 1831712793 | Carly Lynn Gunnersen | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-26 |
| 1477175602 | Safyyah Deseree Davis | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-11 |
| 1134741549 | Angela Sarmiento | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-08 |
| 1477175883 | Jary Barreto Crisi Center | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-08 |
| 1689205510 | Jasmine De Santiago | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-01-29 |
| 1518597103 | Karalyn Cardinale Hingorani | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
| 1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
| 1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
| 1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
| 1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
| 1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
| 1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
| 1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
| 1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
| 1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
| Find all providers in zip 92113 | ||||
| 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 |
|---|---|---|---|---|
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1154921252 | Rayna Milner | Marriage & Family Therapist | 9308 Babauta Rd Apt 61, San Diego, CA 92129-4922 | 2020-10-28 |
| 1114525995 | Bethany Minick | Marriage & Family Therapist | 940 56th St, San Diego, CA 92114-1714 | 2020-10-13 |
| 1477160877 | Lucy Zhang | Marriage & Family Therapist | 6363 Beadnell Way Apt 249, San Diego, CA 92117-4164 | 2020-09-29 |
| 1679189161 | Lucy Wallace | Marriage & Family Therapist | 1265 Trieste Dr, San Diego, CA 92107-3957 | 2020-09-20 |
| 1871107417 | Giselle Romo | Marriage & Family Therapist | 3378 Redwood St, San Diego, CA 92104-4763 | 2020-09-01 |
| 1245849116 | Erica Ovington | Marriage & Family Therapist | 995 Gateway Center Way Ste 208, San Diego, CA 92102-4544 | 2020-07-27 |
| 1164048955 | Kristina Kalaya Clancy | Marriage & Family Therapist | 2333 1st Ave Ste 203, San Diego, CA 92101-1540 | 2020-06-17 |
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1245854983 | Rebecca Braunstein | Marriage & Family Therapist | 11342 Westonhill Dr, San Diego, CA 92126-1449 | 2020-05-28 |
| Find all providers in SAN DIEGO | ||||
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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.