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CRYSTIN G ROUFAEIL LPCC
NPI 1437630357
Counselor - Professional in Agoura Hills, CA

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
5012 CHESEBRO RD STE 200, AGOURA HILLS, CA 91301(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2024, Aug 28, 2018 (2 updates tracked since 2018).

About Crystin G Roufaeil Lpcc NPPES

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

CRYSTIN G ROUFAEIL LPCC (NPI 1437630357) is an individual professional provider in Agoura Hills, California, licensed in California (LPCC13247) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2019).

NPPES Registry Identity

NPI1437630357
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCRYSTIN G ROUFAEILCredential: LPCC
Location Address5012 CHESEBRO RD STE 200Agoura Hills, CA 91301-2287
Mailing Address5012 Chesebro Rd Ste 200Agoura Hills, CA 91301-2287 · (925) 282-1778 · Fax (415) 296-5299
Phone(925) 282-1778
Fax(415) 296-5299
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2019
Enumeration DateAugust 28, 2018
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1437630357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC13247
5012 CHESEBRO RD STE 200, Agoura Hills, CA 91301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystin G Roufaeil Lpcc 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 ID3779935903
PECOS Enrollment IDI20240123003656
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.

Medicare Billing Reassignment

Medicare enrollment records show Crystin Roufaeil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
394 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MIRANDA ALAYNE RICH LMFT
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
MR. CHRISTOPHER BEN BARRAMEDA GO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
DR. CHRISTOPHER EVERETT LEVY MD
Psychiatry & Neurology (Psychiatry)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
ALEXANDRA MORGAN WUCETICH LMFT
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
MRS. ANNELISE GABRIELLE LABRENZ LMFT
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
SHANNON A O'CONNOR PSYD
Psychologist (Clinical)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778
MR. DAVID ALAN BONFANTI II LMFT # 43891
Marriage & Family Therapist
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (818) 274-7677
SARA VAGHAR PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA 91301
Los Angeles County (925) 282-1778

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 Crystin Roufaeil's NPI number?

The NPI number for Crystin Roufaeil is 1437630357. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Crystin Roufaeil located?

Crystin Roufaeil practices at 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301. The listed phone number is (925) 282-1778.

What is Crystin Roufaeil's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Crystin Roufaeil enrolled in Medicare?

Yes. Crystin Roufaeil 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.

Which organization bills Medicare for Crystin Roufaeil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystin Roufaeil reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystin Roufaeil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Crystin Roufaeil was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.