CRYSTAL DUNHAM LPCC
NPI 1548625528
Counselor - Professional in Fargo, ND

Active since December 17, 2015Opted out of Medicare · through Apr 16, 2028
1112 NODAK DR S, FARGO, ND 58103(701) 232-6224(701) 232-4687 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Dec 17, 2015 (2 updates tracked since 2015).

About Crystal Dunham Lpcc NPPES

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

CRYSTAL DUNHAM LPCC (NPI 1548625528) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (719-7-1-12-233) and active in the NPI registry since December 2015. She has opted out of Medicare through April 16, 2028.

NPPES Registry Identity

NPI1548625528
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCRYSTAL DUNHAMCredential: LPCC
Location Address1112 NODAK DR SFargo, ND 58103-2333
Mailing Address1021 26th Ave WWest Fargo, ND 58078-8427 · (701) 232-6224 · Fax (701) 232-4687
Fax(701) 232-4687
Sole ProprietorNo
Enumeration DateDecember 17, 2015
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1548625528 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 ND · 719-7-1-12-233
1112 NODAK DR S, Fargo, ND 58103

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Crystal Dunham Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2024 through April 16, 2028.

Opt-Out Effective DateApril 16, 2024
Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Marriage & Family Therapist
1112 NODAK DR S
FARGO, ND 58103
Counselor (Professional)
1112 NODAK DR S
FARGO, ND 58103
Counselor (Professional)
1112 NODAK DR S
FARGO, ND 58103
Psychologist
1112 NODAK DR S
FARGO, ND 58103
Nurse Practitioner (Adult Health)
1112 NODAK DR S
FARGO, ND 58103
Social Worker
1112 NODAK DR S, SUITE 200
FARGO, ND 58103
Social Worker
1112 NODAK DR S
FARGO, ND 58103
Social Worker (Clinical)
1112 NODAK DR S
FARGO, ND 58103

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 Dunham's NPI number?

The NPI number for Crystal Dunham is 1548625528. It was assigned to this individual provider in the NPPES registry on December 17, 2015.

Where is Crystal Dunham located?

Crystal Dunham practices at 1112 Nodak Dr S, Fargo, ND 58103. The listed phone number is (701) 232-6224.

What is Crystal Dunham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Crystal Dunham enrolled in Medicare?

No. Crystal Dunham has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Crystal Dunham accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Crystal Dunham 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 Dunham was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.