CRYSTAL KUYKENDALL LPC-MHSP
NPI 1174376750
Counselor - Mental Health in Decaturville, TN

Active since April 11, 2024PECOS EnrolledAccepts Medicare Assignment
259 W MAIN ST, DECATURVILLE, TN 38329(731) 852-3112(731) 852-3222 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crystal Kuykendall Lpc-mhsp NPPES

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

CRYSTAL KUYKENDALL LPC-MHSP (NPI 1174376750) is an individual mental health provider in Decaturville, Tennessee, licensed in Tennessee (LPC6454) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174376750
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRYSTAL KUYKENDALLCredential: LPC-MHSP
Location Address259 W MAIN STDecaturville, TN 38329-8033
Mailing Address10710 Old Highway 64Bolivar, TN 38008-3587 · (731) 658-6115
Fax(731) 852-3222
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 11, 2024
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1174376750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · LPC6454
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6454 (TN)
259 W MAIN ST, Decaturville, TN 38329

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

Crystal Kuykendall Lpc-mhsp 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 ID1052751880
PECOS Enrollment IDI20240426002843
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

2

Medicare enrollment records show Crystal Kuykendall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
10710 OLD HIGHWAY 64
Bolivar, TN 38008
  • Reassigned Medicare billing, Tennessee enrollment
  • 17 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Tennessee enrollment
  • 56 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.

Other Providers at the Same Location NPPES 10

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

Counselor
259 W MAIN ST
DECATURVILLE, TN 38329
Counselor
259 W MAIN ST
DECATURVILLE, TN 38329
Counselor
259 W MAIN ST
DECATURVILLE, TN 38329
Counselor
259 W MAIN ST
DECATURVILLE, TN 38329
Counselor
259 W MAIN ST
DECATURVILLE, TN 38329
Counselor
259 W MAIN ST
DECATURVILLE, TN 38329
Social Worker (Clinical)
259 W MAIN ST
DECATURVILLE, TN 38329
Counselor (Mental Health)
259 W MAIN ST
DECATURVILLE, TN 38329

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 Kuykendall's NPI number?

The NPI number for Crystal Kuykendall is 1174376750. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Crystal Kuykendall located?

Crystal Kuykendall practices at 259 W Main St, Decaturville, TN 38329. The listed phone number is (731) 852-3112.

What is Crystal Kuykendall's specialty?

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

Is Crystal Kuykendall enrolled in Medicare?

Yes. Crystal Kuykendall 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 Kuykendall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Kuykendall reassigns Medicare benefits to 2 organizations: Mental Health Centers & Clinics Of Tennessee (Bolivar, TN) and Mental Health Specialty Group PA (Durham, NC). 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 Kuykendall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Kuykendall accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Crystal Kuykendall 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 Kuykendall was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.