MRS. CRYSTAL MARIE HARRIS LCSW
NPI 1083267165
Social Worker - Clinical in Fort Bragg, CA

Active since July 18, 2019PECOS EnrolledAccepts Medicare Assignment
30750 SIMPSON LN, FORT BRAGG, CA 95437(970) 903-1761 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 31, 2023, Jul 18, 2019 (2 updates tracked since 2019).

About Mrs. Crystal Marie Harris Lcsw NPPES

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

MRS. CRYSTAL MARIE HARRIS LCSW (NPI 1083267165) is an individual clinical provider in Fort Bragg, California, licensed in California (101995) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1083267165
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CRYSTAL MARIE HARRISCredential: LCSW
Location Address30750 SIMPSON LNFort Bragg, CA 95437-7761
Mailing Address30750 Simpson LnFort Bragg, CA 95437-7761 · (970) 903-1761
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 18, 2019
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1083267165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 101995✔ Licensed in CO · .09924293
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
30750 SIMPSON LN, Fort Bragg, CA 95437

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Crystal Marie Harris Lcsw 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 ID5991126005
PECOS Enrollment IDI20210827003079
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Crystal Harris reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
205 SOUTH STREET
Fort Bragg, CA 95437
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, California enrollment
  • 81 clinicians in this Medicare group
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado enrollment
  • 504 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95437 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Harris's NPI number?

The NPI number for Crystal Harris is 1083267165. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Crystal Harris located?

Crystal Harris practices at 30750 Simpson Ln, Fort Bragg, CA 95437. The listed phone number is (970) 903-1761.

What is Crystal Harris's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Crystal Harris enrolled in Medicare?

Yes. Crystal Harris 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.

Which organizations bill Medicare for Crystal Harris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Harris reassigns Medicare benefits to 6 organizations: Mendocino Coast Clinics Inc (Fort Bragg, CA), Sud Specialty Group - Ca (Santa Clara, CA), Grow Healthcare Group PC (San Jose, CA), Sondermind PC (San Jose, CA), Sondermind Provider Network LLC (Denver, CO) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Harris accept?

Health plans from Select Health list Crystal Harris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Harris was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.