CRYSTAL BOURLAND
NPI 1366103491
Counselor in Juneau, AK

Active since December 30, 2021PECOS EnrolledAccepts Medicare Assignment
3406 GLACIER HWY, JUNEAU, AK 99801(907) 463-3303(907) 463-6858 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Crystal Bourland NPPES

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

CRYSTAL BOURLAND (NPI 1366103491) is an individual counselor in Juneau, Alaska and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366103491
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCRYSTAL BOURLAND
Location Address3406 GLACIER HWYJuneau, AK 99801-7251
Mailing Address3406 Glacier HwyJuneau, AK 99801-7251 · (907) 463-3303 · Fax (907) 463-6858
Fax(907) 463-6858
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1366103491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3406 GLACIER HWY, Juneau, AK 99801

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 Bourland 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 ID446756910
PECOS Enrollment IDI20251002004491
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 20

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

Counselor
3406 GLACIER HWY
JUNEAU, AK 99801
Case Manager/Care Coordinator
3406 GLACIER HWY
JUNEAU, AK 99801
Social Worker (Clinical)
3406 GLACIER HWY
JUNEAU, AK 99801
Case Manager/Care Coordinator
3406 GLACIER HWY
JUNEAU, AK 99801
Counselor
3406 GLACIER HWY
JUNEAU, AK 99801
Counselor
3406 GLACIER HWY
JUNEAU, AK 99801
Case Manager/Care Coordinator
3406 GLACIER HWY
JUNEAU, AK 99801
Counselor
3406 GLACIER HWY
JUNEAU, AK 99801

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 Bourland's NPI number?

The NPI number for Crystal Bourland is 1366103491. It was assigned to this individual provider in the NPPES registry on December 30, 2021.

Where is Crystal Bourland located?

Crystal Bourland practices at 3406 Glacier Hwy, Juneau, AK 99801. The listed phone number is (907) 463-3303.

What is Crystal Bourland's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Crystal Bourland enrolled in Medicare?

Yes. Crystal Bourland 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 Bourland was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.