CRYSTAL ROLLEFSON LMHC
NPI 1477055416
Counselor - Mental Health in Fort Myers, FL

Active since March 06, 2018PECOS EnrolledAccepts Medicare Assignment
4310 METRO PKWY STE 205, FORT MYERS, FL 33916(239) 690-6906 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2024, Oct 8, 2021, Mar 6, 2018 (3 updates tracked since 2018).

About Crystal Rollefson Lmhc NPPES

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

CRYSTAL ROLLEFSON LMHC (NPI 1477055416) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (23732) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477055416
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRYSTAL ROLLEFSONCredential: LMHC
Location Address4310 METRO PKWY STE 205Fort Myers, FL 33916-9416
Mailing Address13437 1st StFort Myers, FL 33905-2101 · (808) 646-1978
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 6, 2018
Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1477055416 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 FL · 23732
4310 METRO PKWY STE 205, Fort Myers, FL 33916

Accepted Insurance

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

Crystal Rollefson Lmhc 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 ID7416456710
PECOS Enrollment IDI20250814003498
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 Reassignments

2

Medicare enrollment records show Crystal Rollefson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
303 NE 3RD AVE STE 7&8
Cape Coral, FL 33909
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group

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.

Social Worker (Clinical)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Social Worker (Clinical)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Nurse Practitioner (Psychiatric/Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Nurse Practitioner (Psychiatric/Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916
Counselor (Mental Health)
4310 METRO PKWY STE 205
FORT MYERS, FL 33916

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 Rollefson's NPI number?

The NPI number for Crystal Rollefson is 1477055416. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Crystal Rollefson located?

Crystal Rollefson practices at 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916. The listed phone number is (239) 690-6906.

What is Crystal Rollefson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Crystal Rollefson enrolled in Medicare?

Yes. Crystal Rollefson 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 organizations bill Medicare for Crystal Rollefson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Rollefson reassigns Medicare benefits to 2 organizations: The Traveling Therapist LLC (Cape Coral, FL) and Grow Healthcare Group PA (Miami, FL). Each 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 Crystal Rollefson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Rollefson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Crystal Rollefson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Rollefson was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.