1. Home
  2. Directory
  3. Idaho
  4. Lewiston
  5. Counselor
  6. NPI Profile

CRYSTAL ANN NYSTROM LCPC
NPI 1124592365
Counselor - Professional in Lewiston, ID

Active since January 21, 2019
2335 MAIN ST, LEWISTON, ID 83501(208) 791-0129(208) 743-1170 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Ann Nystrom Lcpc NPPES

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

CRYSTAL ANN NYSTROM LCPC (NPI 1124592365) is an individual professional provider in Lewiston, Idaho, licensed in Idaho (5700) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1124592365
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCRYSTAL ANN NYSTROMCredential: LCPC
Location Address2335 MAIN STLewiston, ID 83501-3242
Mailing Address2901 Meadowlark DrLewiston, ID 83501-9668 · (208) 791-0129 · Fax (208) 743-1170
Phone(208) 791-0129
Fax(208) 743-1170
Sole ProprietorNo
Enumeration DateJanuary 21, 2019
✔ NPI 1124592365 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 ID · 5700
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 60098856 (WA)
2335 MAIN ST, Lewiston, ID 83501
Open in Google Maps ↗

Other Identifiers 1

Other0675366780Hpso Liability Insurance

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 Nystrom's NPI number?

The NPI number for Crystal Nystrom is 1124592365. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Crystal Nystrom located?

Crystal Nystrom practices at 2335 Main St, Lewiston, ID 83501. The listed phone number is (208) 791-0129.

What is Crystal Nystrom's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Nystrom was last updated on January 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.