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KRYSTAL YEBOAH
NPI 1063130367
Counselor - Professional in Fairfax, VA

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment
8221 WILLOW OAKS CO DR, FAIRFAX, VA 22031(703) 207-7719 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2023, Aug 22, 2022 (2 updates tracked since 2022).

About Krystal Yeboah NPPES

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

KRYSTAL YEBOAH (NPI 1063130367) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0701008023) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1063130367
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRYSTAL YEBOAH
Location Address8221 WILLOW OAKS CO DRFairfax, VA 22031-4512
Mailing Address8221 Willow Oaks Corporate Dr # 2-431bFairfax, VA 22031-4512 · (703) 207-7719
Phone(703) 207-7719
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 22, 2022
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1063130367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701008023
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
8221 WILLOW OAKS CO DR, Fairfax, VA 22031
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krystal Yeboah is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921458357
PECOS Enrollment IDI20231228000649
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.

Other Providers at the Same Location NPPES

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

MRS. LISA NASH ADAMS LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CO DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000

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 Krystal Yeboah's NPI number?

The NPI number for Krystal Yeboah is 1063130367. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Krystal Yeboah located?

Krystal Yeboah practices at 8221 Willow Oaks Co Dr, Fairfax, VA 22031. The listed phone number is (703) 207-7719.

What is Krystal Yeboah's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Krystal Yeboah enrolled in Medicare?

Yes. Krystal Yeboah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Krystal Yeboah was last updated on December 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.