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MRS. CRYSTAL L ELLSWORTH SUDP-T
NPI 1588267157
Counselor - Addiction (Substance Use Disorder) in Colville, WA

Active since November 17, 2020
218 N OAK ST STE B, COLVILLE, WA 99114(509) 684-5867(509) 684-1925 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 7, 2021, Nov 17, 2020 (2 updates tracked since 2020).

About Mrs. Crystal L Ellsworth Sudp-t NPPES

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

MRS. CRYSTAL L ELLSWORTH SUDP-T (NPI 1588267157) is an individual addiction (substance use disorder) provider in Colville, Washington, licensed in Washington (CO61154536) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1588267157
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CRYSTAL L ELLSWORTHCredential: SUDP-T
Location Address218 N OAK ST STE BColville, WA 99114-2968
Mailing Address218 N Oak St Ste BColville, WA 99114-2968 · (509) 684-5867 · Fax (509) 684-1925
Phone(509) 684-5867
Fax(509) 684-1925
Sole ProprietorNo
Enumeration DateNovember 17, 2020
Last NPPES UpdateJune 7, 20212 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1588267157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO61154536
Also ListedNurse's AideTaxonomy 376K00000X · License CM60865562 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
218 N OAK ST STE B, Colville, WA 99114
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Other Names 1

Former Name (1)Ms. Crystal L Long

Other Providers at the Same Location NPPES

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

GINGER ANN COLVIN CDPT
Counselor (Addiction (Substance Use Disorder))
218 N OAK ST STE B
COLVILLE, WA 99114
Stevens County (509) 684-5867

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 Ellsworth's NPI number?

The NPI number for Crystal Ellsworth is 1588267157. It was assigned to this individual provider in the NPPES registry on November 17, 2020. The provider is also known as Ms. Crystal L Long.

Where is Crystal Ellsworth located?

Crystal Ellsworth practices at 218 N Oak St Ste B, Colville, WA 99114. The listed phone number is (509) 684-5867.

What is Crystal Ellsworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Crystal Ellsworth was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.