CRYSTAL CHARMAYNE ADDISON
NPI 1013584580
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since June 04, 2021
300 W MCNICHOLS RD, DETROIT, MI 48203(313) 867-8015(313) 867-8040 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Charmayne Addison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL CHARMAYNE ADDISON (NPI 1013584580) is an individual addiction (substance use disorder) provider in Detroit, Michigan and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1013584580
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL CHARMAYNE ADDISON
Location Address300 W MCNICHOLS RDDetroit, MI 48203-2703
Mailing Address19142 Delaware StRoseville, MI 48066-4144 · (586) 277-8423
Fax(313) 867-8040
Sole ProprietorYes
Enumeration DateJune 4, 2021
NPPES CertifiedJune 4, 2021
NPI 1013584580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
300 W MCNICHOLS RD, Detroit, MI 48203

Other Names 1

Other Name (5)Crystal Charmayne Terry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Counselor (Addiction (Substance Use Disorder))
300 W MCNICHOLS RD
DETROIT, MI 48203
Substance Abuse Rehabilitation Facility
300 W MCNICHOLS RD
DETROIT, MI 48203
Clinic/Center (Rehabilitation, Substance Use Disorder)
300 W MCNICHOLS RD
DETROIT, MI 48203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Addison's NPI number?

The NPI number for Crystal Addison is 1013584580. It was assigned to this individual provider in the NPPES registry on June 4, 2021. The provider is also known as Crystal Charmayne Terry.

Where is Crystal Addison located?

Crystal Addison practices at 300 W Mcnichols Rd, Detroit, MI 48203. The listed phone number is (313) 867-8015.

What is Crystal Addison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Crystal Addison was last updated on June 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.