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MS. CRYSTAL KOREN PELLOM LPC-A
NPI 1295189702
Counselor - Mental Health in Wilmington, NC

Active since April 20, 2016
615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 343-0145 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Crystal Koren Pellom Lpc-a NPPES

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

MS. CRYSTAL KOREN PELLOM LPC-A (NPI 1295189702) is an individual mental health provider in Wilmington, North Carolina, licensed in North Carolina (A12297) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1295189702
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CRYSTAL KOREN PELLOMCredential: LPC-A
Location Address615 SHIPYARD BLVDWilmington, NC 28412
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 202-9966
Phone(910) 343-0145
Sole ProprietorNo
Enumeration DateApril 20, 2016
Last NPPES UpdateJuly 2, 2018
✔ NPI 1295189702 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 NC · A12297
615 SHIPYARD BLVD, Wilmington, NC 28412
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Other Providers at the Same Location NPPES 20

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

COASTAL HORIZONS CENTER, INC.
Psychologist (Prescribing (Medical))
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 790-0187
MISS MARY FLORENCE WOOD LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 617-9647
MRS. ISABELLA LECCI PATE LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 931-4147
WHITNEY SHANTE JONES
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145
TERRANCE WILLIAMS LCSW
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145
DANIELLE MARGARET ROBBINS LCSW-A
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 399-3755
BRITTNEY PROCTOR LCSW
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 202-3155
TAMMY MICHELE JOHNSON-MCKOY LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145

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 Pellom's NPI number?

The NPI number for Crystal Pellom is 1295189702. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Crystal Pellom located?

Crystal Pellom practices at 615 Shipyard Blvd, Wilmington, NC 28412. The listed phone number is (910) 343-0145.

What is Crystal Pellom'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 Pellom was last updated on July 2, 2018. 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.