CRYSTAL NICOLE FIELDS (NPI# 1194384313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194384313 |
| Entity Type | Individual |
| Full Name | CRYSTAL NICOLE FIELDS |
| Credential | QMHS-BACHELOR |
| Practice Address |
830 N Summit St Ste 2 Toledo OH 43604-1884 |
| Practice Telephone | 4196939600 |
| Practice Fax Number | 4196939650 |
| Mailing Telephone | 4196939600 |
| Mailing Fax Number | 4196939650 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271656 | Crystal Marie Fields | Registered Nurse | 31 Middlebury Ave, Massena, NY 13662-2519 | 2020-07-02 |
| 1740641067 | Crystal Fields | Behavioral Analyst | 12 Fulcher Ct, Hampton, VA 23666-5773 | 2016-03-14 |
| 1144632068 | Crystal Fields | Specialist/Technologist | 12941 North Fwy, Ste 401, Houston, TX 77060-1240 | 2014-05-27 |
| 1861736050 | Crystal Fields | Specialist | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2012-11-12 |
| Street Address |
830 N SUMMIT ST STE 2 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003020249 | Heather Frederick | Community/Behavioral Health | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2007-05-09 |
| 1104423144 | Emily Heider | Social Worker | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-10-02 |
| 1407462823 | Abigail Cronin | Student in an Organized Health Care Education/Training Program | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-09-21 |
| 1053925768 | Madeline Jackson | Case Manager/Care Coordinator | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-09-01 |
| 1689285439 | Christina Crossgrove | Social Worker | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-08-14 |
| 1154932077 | Jaisha Holmes | Student in an Organized Health Care Education/Training Program | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-08-13 |
| 1659981173 | Jessica Wegert | Case Manager/Care Coordinator | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-08-10 |
| 1306456827 | Deanna Mattoni | Case Manager/Care Coordinator | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-08-10 |
| 1194334177 | Lacharles Smith | Case Manager/Care Coordinator | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-07-27 |
| 1093324071 | Jessica Stroble | Social Worker | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879590 | Kaushal B Jani | Student in an Organized Health Care Education/Training Program | Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 | 2020-04-08 |
| 1548807316 | Jennifer Marie Bismack | Peer Specialist | 142 23rd St, Suite 911, Toledo, OH 43604 | 2019-11-29 |
| 1841849064 | Keith Allen Vore | Student in an Organized Health Care Education/Training Program | 1117 Jefferson #214, Toledo, OH 43604 | 2019-09-10 |
| 1740846765 | Mohammad Shahrukh Tanweer | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 | 2019-05-15 |
| 1740846229 | Sami Al-rahman Syed | Student in an Organized Health Care Education/Training Program | Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-05-10 |
| 1306402870 | Poojitha Kolluri | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 | 2019-05-10 |
| 1407375090 | Keyana Renee Galloway | Social Worker | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2017-09-14 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1811426208 | Rosamaria Sanchez | Counselor | 701 Jefferson Ave Suite 101, Toledo, OH 43604 | 2017-06-08 |
| 1306373014 | Salwa Beydoun | Social Worker | 701 Jefferson, Toledo, OH 43604 | 2017-05-12 |
| Find all providers in zip 43604 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878885 | Transformative Solutions LLC | Community/Behavioral Health | 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 | 2020-10-10 |
| 1184243727 | Young Men and Women for Change | Community/Behavioral Health | 2467 1/2 Nebraska Ave, Toledo, OH 43607-3531 | 2020-04-14 |
| 1962038844 | Lance Larkin | Community/Behavioral Health | 5151 Monroe St Ste 204, Toledo, OH 43623-3467 | 2020-03-23 |
| 1013543040 | Revitalized Behavioral Healthcare, LLC | Community/Behavioral Health | 5577 Airport Hwy Ste 102, Toledo, OH 43615-7364 | 2020-03-22 |
| 1043846165 | Sound Mind Behavioral Wellness, LLC | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200-b, Toledo, OH 43614-1559 | 2020-03-20 |
| 1982259693 | Family Guidance Centers of Ohio, Inc. | Community/Behavioral Health | 4354 Monroe St, Toledo, OH 43606-1959 | 2019-08-08 |
| 1285199521 | Positive Living Solutions, LLC | Community/Behavioral Health | 1011 Monroe St, Toledo, OH 43604-5912 | 2019-01-31 |
| 1811468085 | Sasia N King | Community/Behavioral Health | 830 N. Summit Suite #2, Toledo, OH 43604-1884 | 2018-12-16 |
| 1669943981 | St. Paul's Community Center | Community/Behavioral Health | 230 13th St, Toledo, OH 43604-5443 | 2018-12-14 |
| 1386126456 | Changing Lives | Community/Behavioral Health | 316 N Michigan St Ste 435, Toledo, OH 43604-5666 | 2018-09-05 |
| Find all providers in TOLEDO | ||||
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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.