CRYSTAL LEAKE LPC
NPI 1235532714
Counselor - Mental Health in Fairbanks, AK

Active since September 29, 2014
3504 INDUSTRIAL AVE STE 214, FAIRBANKS, AK 99701(907) 452-4673(907) 452-1430 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Leake Lpc NPPES

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

CRYSTAL LEAKE LPC (NPI 1235532714) is an individual mental health provider in Fairbanks, Alaska, licensed in Alaska (806) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1235532714
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRYSTAL LEAKECredential: LPC
Location Address3504 INDUSTRIAL AVE STE 214Fairbanks, AK 99701-7390
Mailing Address3504 Industrial Ave Ste 214Fairbanks, AK 99701-7390 · (907) 452-4673 · Fax (907) 452-1430
Fax(907) 452-1430
Sole ProprietorYes
Enumeration DateSeptember 29, 2014
NPI 1235532714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AK · 806
3504 INDUSTRIAL AVE STE 214, Fairbanks, AK 99701

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
3504 INDUSTRIAL AVE STE 214
FAIRBANKS, AK 99701
Counselor
3504 INDUSTRIAL AVE STE 214
FAIRBANKS, AK 99701
Marriage & Family Therapist
3504 INDUSTRIAL AVE STE 214
FAIRBANKS, AK 99701
Counselor (Mental Health)
3504 INDUSTRIAL AVE STE 214
FAIRBANKS, AK 99701

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 Leake's NPI number?

The NPI number for Crystal Leake is 1235532714. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Where is Crystal Leake located?

Crystal Leake practices at 3504 Industrial Ave Ste 214, Fairbanks, AK 99701. The listed phone number is (907) 452-4673.

What is Crystal Leake's specialty?

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

What insurance does Crystal Leake accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Crystal Leake 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 Leake was last updated on September 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.