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

Q: 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.

Q: What is Krystal Manning's specialty?

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

Q: 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 15 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.

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: August 09, 2026.

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

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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..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)

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.

Other Providers at the Same Location NPPES 9

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

AMANDA LEE

Pediatrics