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MRS. CRYSTAL ANN BOSTOW LIDDYCOAT MA, LAC, LPC
NPI 1356581227
Counselor - Mental Health in West Fargo, ND

Active since March 04, 2009
726 13TH AVE E, WEST FARGO, ND 58078(971) 500-2661 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2026, Dec 3, 2025, Dec 3, 2021 (3 updates tracked since 2021).

About Mrs. Crystal Ann Bostow Liddycoat Ma, Lac, Lpc NPPES

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

MRS. CRYSTAL ANN BOSTOW LIDDYCOAT MA, LAC, LPC (NPI 1356581227) is an individual mental health provider in West Fargo, North Dakota, licensed in North Dakota (621-12-15-08) and active in the NPI registry since March 2009. She maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1356581227
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. CRYSTAL ANN BOSTOW LIDDYCOATCredential: MA, LAC, LPC
Location Address726 13TH AVE EWest Fargo, ND 58078-3304
Mailing Address2910 38th Ave SFargo, ND 58104-7061 · (530) 799-0499
Phone(971) 500-2661
Sole ProprietorYes
Enumeration DateMarch 4, 2009
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1356581227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in ND · 621-12-15-08✔ Licensed in NV · CP6207-R
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1596 (ND)
726 13TH AVE E, West Fargo, ND 58078
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Other Names 1

Former Name (1)Miss Crystal Ann Bostow

Secondary Practice Location 1

Location 16258 14th St SFargo, ND 58104-7230 · Phone (530) 799-0499

Other Providers at the Same Location NPPES 2

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

JAEDA KERIN ERTELT FNP-C
Nurse Practitioner (Family)
726 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 510-2010
CROSSOVER HEALTH MEDICAL GROUP
Specialist
726 13TH AVE E
WEST FARGO, ND 58078
Cass County (844) 398-3640

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 Liddycoat's NPI number?

The NPI number for Crystal Liddycoat is 1356581227. It was assigned to this individual provider in the NPPES registry on March 4, 2009. The provider is also known as Miss Crystal Ann Bostow.

Where is Crystal Liddycoat located?

Crystal Liddycoat practices at 726 13th Ave E, West Fargo, ND 58078. The listed phone number is (971) 500-2661.

What is Crystal Liddycoat'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 Liddycoat was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.