CRESCENT WELLNESS, INC
NPI 1124594510
Clinic/Center - Mental Health (Including Community Mental Health Center) in Edmonds, WA
About Crescent Wellness, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRESCENT WELLNESS, INC (NPI 1124594510) is a healthcare organization registered as a mental health (including community mental health center) in Edmonds, Washington and active in the NPI registry since October 2018. The organization lists Kelly Druin, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crescent Wellness, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Crescent Wellness, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Crescent Wellness, Inc's NPI number?
The NPI number for Crescent Wellness, Inc is 1124594510. It was assigned to this organization in the NPPES registry on October 23, 2018.
Where is Crescent Wellness, Inc located?
Crescent Wellness, Inc is located at 320 Dayton St Ste 127, Edmonds, WA 98020. The listed phone number is (206) 486-0295.
What is Crescent Wellness, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Crescent Wellness, Inc enrolled in Medicare?
Yes. Crescent Wellness, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crescent Wellness, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Crescent Wellness, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Crescent Wellness, Inc was last updated on May 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Crescent Wellness, Inc · NPI 1124594510
Mental Health (Including Community Mental Health Center) organization in Edmonds, Washington. Organization record, active in the CMS NPPES registry since October 23, 2018.
## Identity
- **NPI:** 1124594510 (Entity type: Organization)
- **Enumerated:** October 23, 2018
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kelly Druin, PROVIDER
## Practice location
- **Address:** 320 DAYTON ST STE 127, Edmonds, WA 98020-3590
- **Phone:** (206) 486-0295
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2022
- **Other identifiers:** Other 1649586777
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Source: [NPI Profile](https://npiprofile.com/npi/1124594510) · Data from the CMS NPPES public registry.