CRYSTAL N WHITE MHCA
NPI 1285150904
Counselor - Mental Health in Goodyear, AZ

Active since August 15, 2017PECOS EnrolledAccepts Medicare Assignment
15150 W PARK PL FL 2, GOODYEAR, AZ 85395(602) 679-4691 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2020, Jun 16, 2018, Mar 30, 2018 and 1 more (4 updates tracked since 2017).

About Crystal N White Mhca NPPES

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

CRYSTAL N WHITE MHCA (NPI 1285150904) is an individual mental health provider in Goodyear, Arizona, licensed in Kansas (2633) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285150904
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRYSTAL N WHITECredential: MHCA
Location Address15150 W PARK PL FL 2Goodyear, AZ 85395-2385
Mailing Address2005 N 103rd Ave Unit 1204Avondale, AZ 85392-4533 · (785) 861-0404
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 15, 2017
Last NPPES UpdateOctober 3, 20254 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
NPI 1285150904 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 KS · 2633
15150 W PARK PL FL 2, Goodyear, AZ 85395

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Crystal N White Mhca 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 ID3274024690
PECOS Enrollment IDI20251113003232
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.

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Social Worker (Clinical)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Counselor (Professional)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Nurse Practitioner (Psychiatric/Mental Health)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Clinic/Center (Adult Mental Health)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Behavior Analyst
15150 W PARK PL FL 2
GOODYEAR, AZ 85395
Nurse Practitioner (Psychiatric/Mental Health)
15150 W PARK PL FL 2
GOODYEAR, AZ 85395

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 White's NPI number?

The NPI number for Crystal White is 1285150904. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Crystal White located?

Crystal White practices at 15150 W Park Pl Fl 2, Goodyear, AZ 85395. The listed phone number is (602) 679-4691.

What is Crystal White's specialty?

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

Is Crystal White enrolled in Medicare?

Yes. Crystal White 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.

When was this NPI record last updated?

The NPPES record for Crystal White was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.