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KRYSTAL LYNN MANNING
NPI 1508575184
Marriage & Family Therapist in Caldwell, ID

Active since November 22, 2022PECOS Enrolled
1620 S KIMBALL AVE, CALDWELL, ID 83605(208) 505-2950(208) 505-2955 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2025, Mar 31, 2025, Mar 20, 2025 and 2 more (5 updates tracked since 2022).

About Krystal Lynn Manning NPPES

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

KRYSTAL LYNN MANNING (NPI 1508575184) is an individual marriage & family therapist in Caldwell, Idaho, licensed in Idaho (2061075) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Apple Valley.

NPPES Registry Identity

NPI1508575184
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKRYSTAL LYNN MANNING
Location Address1620 S KIMBALL AVECaldwell, ID 83605-4547
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 505-2950
Fax(208) 505-2955
Sole ProprietorNo
Enumeration DateNovember 22, 2022
Last NPPES UpdateMay 8, 20255 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1508575184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in ID · 2061075✔ Licensed in CA · 146126
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1620 S KIMBALL AVE, Caldwell, ID 83605
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Other Names 1

Former Name (1)Krystal Lynn Moore

Secondary Practice Location 1

Location 117800 US Highway 18Apple Valley, CA 92307-1221 · Phone (760) 552-6700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Lynn Manning is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Krystal Manning reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC
26 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

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 8

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

AMANDA LEE
Pediatrics
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 505-2950
CRYSTAL GAIL BELCOURT CPNP-PC
Nurse Practitioner (Pediatrics)
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 505-2950
DR. MICHAEL S MORRIS MD
Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 454-9181
CALDWELL UROLOGY , P.L.L.C.
Specialist
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 454-9181
DR. JENNICA BROOKE ARMSTRONG DO
Pediatrics
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 505-2950
DONALD K STRITZKE MD
Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 454-9181
ST LUKES REGIONAL MEDICAL CENTER
Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 454-9181
ST LUKES REGIONAL MEDICAL CENTER
Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 454-9181

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 Krystal Manning's NPI number?

The NPI number for Krystal Manning is 1508575184. It was assigned to this individual provider in the NPPES registry on November 22, 2022. The provider is also known as Krystal Lynn Moore.

Where is Krystal Manning located?

Krystal Manning practices at 1620 S Kimball Ave, Caldwell, ID 83605. The listed phone number is (208) 505-2950.

What is Krystal Manning's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Krystal Manning enrolled in Medicare?

Yes. Krystal Manning is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krystal Manning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Manning reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Krystal Manning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystal Manning accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Krystal Manning 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 Krystal Manning was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.