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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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: July 19, 2026.

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

On this page

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

Open in Google Maps ↗

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

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.