CRYSTAL LYNN FAVRE LPC007028, GEORGIA
NPI 1619202041
Counselor in Jasper, GA

Q: What is Crystal Favre's NPI number?

The NPI number for Crystal Favre is 1619202041. It was assigned to this individual provider in the NPPES registry on October 2, 2009.

Q: What is Crystal Favre's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Favre was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 02, 2009PECOS EnrolledAccepts Medicare Assignment

2404 REFUGE RD, JASPER, GA 30143(706) 692-7209(706) 693-0144 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Crystal Lynn Favre Lpc007028, Georgia NPPES

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

CRYSTAL LYNN FAVRE LPC007028, GEORGIA (NPI 1619202041) is an individual counselor in Jasper, Georgia and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1619202041

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCRYSTAL LYNN FAVRECredential: LPC007028, GEORGIA

Location Address2404 REFUGE RDJasper, GA 30143-4946

Mailing Address905 Rocky Ridge PassCanton, GA 30114-9751 · (404) 786-2040 · Fax (770) 345-8801

Phone(706) 692-7209

Fax(706) 693-0144

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateOctober 2, 2009

Last NPPES UpdateJune 19, 2013

✔ NPI 1619202041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2404 REFUGE RD, Jasper, GA 30143

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystal Lynn Favre Lpc007028, Georgia is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608311659

PECOS Enrollment IDI20240917001535

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 6

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

COLLABORATIONS FOR RESILIENCY IN CHILDREN, INC

Community/Behavioral Health