CRYSTAL VATZA LPC
NPI 1235508599
Counselor - Professional in Kunkletown, PA

Active since September 16, 2015Opted out of Medicare · through Mar 15, 2028
464 SILVER SPRING BLVD, KUNKLETOWN, PA 18058(570) 718-8255 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Vatza Lpc NPPES

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

CRYSTAL VATZA LPC (NPI 1235508599) is an individual professional provider in Kunkletown, Pennsylvania, licensed in Pennsylvania (PC008166) and active in the NPI registry since September 2015. She has opted out of Medicare through March 15, 2028.

NPPES Registry Identity

NPI1235508599
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCRYSTAL VATZACredential: LPC
Location Address464 SILVER SPRING BLVDKunkletown, PA 18058-7105
Mailing AddressPo Box 556Mount Pocono, PA 18344-0556 · (570) 718-8255
Sole ProprietorNo
Enumeration DateSeptember 16, 2015
Last NPPES UpdateMay 30, 2023
NPPES CertifiedMay 30, 2023
NPI 1235508599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC008166
464 SILVER SPRING BLVD, Kunkletown, PA 18058

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Crystal Vatza Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2024 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2024
Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Vatza's NPI number?

The NPI number for Crystal Vatza is 1235508599. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Crystal Vatza located?

Crystal Vatza practices at 464 Silver Spring Blvd, Kunkletown, PA 18058. The listed phone number is (570) 718-8255.

What is Crystal Vatza's specialty?

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

Is Crystal Vatza enrolled in Medicare?

No. Crystal Vatza has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Crystal Vatza was last updated on May 30, 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.