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DR. CRYSTAL HOLLENBECK EDD, LMHC
NPI 1548936826
Counselor - Mental Health in Orlando, FL

Active since August 18, 2021Opted out of Medicare · through Apr 1, 2028
7345 W SAND LAKE RD STE 303, ORLANDO, FL 32819(407) 408-6521 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Crystal Hollenbeck Edd, Lmhc NPPES

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

DR. CRYSTAL HOLLENBECK EDD, LMHC (NPI 1548936826) is an individual mental health provider in Orlando, Florida, licensed in Florida (11615) and active in the NPI registry since August 2021. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1548936826
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. CRYSTAL HOLLENBECKCredential: EDD, LMHC
Location Address7345 W SAND LAKE RD STE 303Orlando, FL 32819-5205
Mailing Address8015 International Dr # 302Orlando, FL 32819-9312 · (407) 408-6521
Phone(407) 408-6521
Sole ProprietorYes
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1548936826 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 · 11615
7345 W SAND LAKE RD STE 303, Orlando, FL 32819
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Other Names 1

Professional Name (2)Dr. Crystal Hollenbeck Edd, Lmhc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Crystal Hollenbeck Edd, Lmhc 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 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

GROWING BRANCHES LLC
Marriage & Family Therapist
7345 W SAND LAKE RD STE 303
ORLANDO, FL 32819
Orange County (407) 488-9043

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 Hollenbeck's NPI number?

The NPI number for Crystal Hollenbeck is 1548936826. It was assigned to this individual provider in the NPPES registry on August 18, 2021. The provider is also known as Dr. Crystal Hollenbeck Edd, Lmhc.

Where is Crystal Hollenbeck located?

Crystal Hollenbeck practices at 7345 W Sand Lake Rd Ste 303, Orlando, FL 32819. The listed phone number is (407) 408-6521.

What is Crystal Hollenbeck's specialty?

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

Is Crystal Hollenbeck enrolled in Medicare?

No. Crystal Hollenbeck has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Crystal Hollenbeck was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.