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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since March 06, 2018PECOS Enrolled

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: July 19, 2026.

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

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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

Phone(239) 690-6906

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Rollefson Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.