MRS. CRYSTAL LEIGH ROBERTS (NPI# 1447270509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447270509 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL LEIGH ROBERTS |
| Other Name | MS. CRYSTAL LEIGH ROBBINS |
| Credential | NCC,MA |
| Practice Address |
1600 Broad Ave Gulfport MS 39501-3603 |
| Practice Telephone | 2288631132 |
| Practice Fax Number | 2288651700 |
| Mailing Telephone | 2288631132 |
| Mailing Fax Number | 2288651700 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018213 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144795865 | Crystal Parson Roberts | Physician Assistant | 100 S 10th St, Lillington, NC 27546-6690 | 2018-10-09 |
| 1609228410 | Crystal D. Roberts | Nurse Practitioner | 200 S Houston Lake Rd, Warner Robins, GA 31088-9006 | 2016-07-05 |
| 1366791089 | Crystal Jill Roberts | Occupational Therapy Assistant | 444 One Eleven Pl, Cookeville, TN 38506-4358 | 2012-09-10 |
| 1578716619 | Crystal Roberts | Case Manager/Care Coordinator | 602 Sw 38th St, Lawton, OK 73505-6912 | 2008-11-03 |
| Street Address |
1600 BROAD AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417934175 | Gulf Coast Mental Health Center | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2005-12-23 |
| 1043811839 | Kathy Ulland | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-11-06 |
| 1508463357 | Nicole Brown | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-05 |
| 1407453376 | Brian Weber | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-05 |
| 1457958639 | Krysten Vagedes | Registered Nurse | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-01 |
| 1184239436 | Yeinil Guzman | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-09-14 |
| 1972117216 | Nicole Hymel | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-09-03 |
| 1053921668 | Dana Alexis Mixon | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-08-07 |
| 1801405964 | Elizabeth Moran | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1013526177 | June Boudreaux | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134454697 | Jason D Hill | Counselor | 1106 32nd Ave Apt B, Gulfport, MS 39501-1801 | 2009-10-15 |
| 1447458294 | Marcella A Hale | Counselor | 1989 Pass Road, Gulfport, MS 39531 | 2007-07-03 |
| 1235268780 | Douglas W. Knapp | Counselor | 450 E Pass Rd Ste 3, Gulfport, MS 39507-3212 | 2007-03-02 |
| 1750468096 | Elizabeth S Kiebzak | Counselor | 5122 Gulfport Blvd S, Gulfport, FL 33707-4922 | 2006-11-01 |
| 1730786542 | Sol To Soul Counseling, LLC | Counselor | 12337 Ashley Dr Ste C, Gulfport, MS 39503-2753 | 2020-10-05 |
| 1083089254 | Lena Lee | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2015-12-14 |
| 1578901575 | Alysha Velez | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2013-06-12 |
| 1952424111 | Shirley Thurman | Counselor | 450 E Pass Rd, Suite 3, Gulfport, MS 39507-3212 | 2007-04-10 |
| 1467479477 | Daphne Ferriera Fisher | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2006-07-16 |
| 1588680748 | Constance Eugenia Taylor | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2006-07-14 |
| Find all providers in GULFPORT | ||||
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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.