1. Home
  2. Directory
  3. California
  4. Riverside
  5. Counselor
  6. NPI Profile

CRYSTAL VILLA
NPI 1235655739
Counselor - Mental Health in Riverside, CA

Active since August 16, 2017
2085 RUSTIN AVE # 4, RIVERSIDE, CA 92507(951) 955-8000(951) 955-8010 Get Directions Write a Review

NPPES record last updated: August 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Villa NPPES

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

CRYSTAL VILLA (NPI 1235655739) is an individual mental health provider in Riverside, California and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1235655739
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRYSTAL VILLA
Location Address2085 RUSTIN AVE # 4Riverside, CA 92507-2498
Mailing Address190 E 27th StSan Bernardino, CA 92404-3610 · (909) 454-1777
Phone(951) 955-8000
Fax(951) 955-8010
Sole ProprietorNo
Enumeration DateAugust 16, 2017
✔ NPI 1235655739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2085 RUSTIN AVE # 4, Riverside, CA 92507
Open in Google Maps ↗

Other Providers at the Same Location NPPES 14

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

MR. RICHARD LOWELL YARBROUGH
Peer Specialist
2085 RUSTIN AVE # 4
RIVERSIDE, CA 92507
Riverside County (951) 955-8000
AMANDA HOLLOWAY
Case Manager/Care Coordinator
2085 RUSTIN AVE # 4
RIVERSIDE, CA 92507
Riverside County (195) 195-5800
KENDRA THEROITH
Marriage & Family Therapist
2085 RUSTIN AVE # 4
RIVERSIDE, CA 92507
Riverside County (951) 955-8000
CAROLYN JEAN BENSON
Peer Specialist
2085 RUSTIN AVE # 4
RIVERSIDE, CA 92507
Riverside County (951) 955-8000
TIFFANY DOMINIQUE PULLMAN
Case Manager/Care Coordinator
2085 RUSTIN AVE # 4
RIVERSIDE, CA 92507
Riverside County (951) 955-8000
ALEXIS T LEE
Rehabilitation Practitioner
2085 RUSTIN AVE # 4
RIVERSIDE, CA 92507
Riverside County (951) 955-8000
SHARNEE BROWN LVN
Licensed Vocational Nurse
2085 RUSTIN AVE # 4
RIVERSIDE, CA 92507
Riverside County (951) 955-8000
RENA C. AYALA
Social Worker
2085 RUSTIN AVE # 4
RIVERSIDE, CA 92507
Riverside County (951) 955-8000

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 Villa's NPI number?

The NPI number for Crystal Villa is 1235655739. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Crystal Villa located?

Crystal Villa practices at 2085 Rustin Ave # 4, Riverside, CA 92507. The listed phone number is (951) 955-8000.

What is Crystal Villa's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Villa was last updated on August 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.