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KRYSTLE MICHELLE EDIXON
NPI 1043173768
Counselor - Mental Health in Painesville, OH

Active since December 09, 2025PECOS Enrolled
6490 MONTE DR, PAINESVILLE, OH 44077(440) 221-3011 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Krystle Michelle Edixon NPPES

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

KRYSTLE MICHELLE EDIXON (NPI 1043173768) is an individual mental health provider in Painesville, Ohio, licensed in Ohio (E.0900461) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043173768
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRYSTLE MICHELLE EDIXON
Location Address6490 MONTE DRPainesville, OH 44077-9187
Mailing Address6490 Monte DrPainesville, OH 44077-9187 · (440) 221-3011 · Fax (440) 221-3011
Phone(440) 221-3011
Sole ProprietorYes
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1043173768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.0900461
6490 MONTE DR, Painesville, OH 44077
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystle Michelle Edixon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Krystle Edixon's NPI number?

The NPI number for Krystle Edixon is 1043173768. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Krystle Edixon located?

Krystle Edixon practices at 6490 Monte Dr, Painesville, OH 44077. The listed phone number is (440) 221-3011.

What is Krystle Edixon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Krystle Edixon enrolled in Medicare?

Yes. Krystle Edixon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Krystle Edixon was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.