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CRYSTAL ROCHELLE STIDUM LPC
NPI 1629364203
Counselor - Mental Health in North Little Rock, AR

Active since June 22, 2011PECOS Enrolled
425 W BROADWAY ST STE H, NORTH LITTLE ROCK, AR 72114(501) 412-0069(501) 712-4534 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2025, Jan 5, 2024, Nov 20, 2023 and 1 more (4 updates tracked since 2022).

About Crystal Rochelle Stidum Lpc NPPES

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

CRYSTAL ROCHELLE STIDUM LPC (NPI 1629364203) is an individual mental health provider in North Little Rock, Arkansas and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629364203
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRYSTAL ROCHELLE STIDUMCredential: LPC
Location Address425 W BROADWAY ST STE HNorth Little Rock, AR 72114-5576
Mailing Address9214 Tall Timber BlvdLittle Rock, AR 72204-8523 · (501) 247-0252 · Fax (012) 470-2525
Phone(501) 412-0069
Fax(501) 712-4534
Sole ProprietorYes
Enumeration DateJune 22, 2011
Last NPPES UpdateJune 2, 20254 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1629364203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
425 W BROADWAY ST STE H, North Little Rock, AR 72114
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Secondary Practice Locations 2

Location 1829 Halbert StMalvern, AR 72104-2607 · Phone (501) 332-4400
Location 2217 W 2nd St Ste 306Little Rock, AR 72201-2522 · Phone (501) 247-0252 · Fax (501) 712-4534

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Rochelle Stidum Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Crystal Stidum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Care Counseling Services
0.7 mi
Mental Health
217 W 2ND ST STE 306
Little Rock, AR 72201
  • Reassigned Medicare billing, Arkansas enrollment
NPI 1104692193 (501) 412-0049

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

MISSION PSYCHOTHERAPY SERVICES
Counselor (Mental Health)
425 W BROADWAY ST STE H
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 672-5341

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 Stidum's NPI number?

The NPI number for Crystal Stidum is 1629364203. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Crystal Stidum located?

Crystal Stidum practices at 425 W Broadway St Ste H, North Little Rock, AR 72114. The listed phone number is (501) 412-0069.

What is Crystal Stidum's specialty?

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

Is Crystal Stidum enrolled in Medicare?

Yes. Crystal Stidum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Crystal Stidum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Stidum reassigns Medicare benefits to Care Counseling Services (Little Rock, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Stidum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Stidum accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Crystal Stidum 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 Stidum was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.