CRYSTAL L PARK M.S.
NPI 1669034948
Specialist in Grand Rapids, MI

Q: What is Crystal Park's NPI number?

The NPI number for Crystal Park is 1669034948. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Q: What is Crystal Park's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Park was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 08, 2019

1115 BALL AVE NE, GRAND RAPIDS, MI 49505(616) 456-6571 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crystal L Park M.s. NPPES

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

CRYSTAL L PARK M.S. (NPI 1669034948) is an individual specialist in Grand Rapids, Michigan and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1669034948

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameCRYSTAL L PARKCredential: M.S.

Location Address1115 BALL AVE NEGrand Rapids, MI 49505-5904

Mailing Address151 S Wildwood Run Apt 16Ludington, MI 49431-8751 · (616) 456-6571

Phone(616) 456-6571

Sole ProprietorNo

Enumeration DateJuly 8, 2019

✔ NPI 1669034948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1115 BALL AVE NE, Grand Rapids, MI 49505

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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.

JAMIE MARIE HENSON BSW

Social Worker

1115 BALL AVE NE
GRAND RAPIDS, MI 49505

Kent County (616) 240-1990

KATHARINE ELISABETH DANIELS

Social Worker

1115 BALL AVE NE
GRAND RAPIDS, MI 49505

Kent County (616) 456-6571

TODD JOHNSON

Counselor (Addiction (Substance Use Disorder))

1115 BALL AVE NE
GRAND RAPIDS, MI 49505

Kent County (616) 456-6571

JOHN HUNT

Social Worker

1115 BALL AVE NE
GRAND RAPIDS, MI 49505

Kent County (616) 456-7775

TAYLOR BERGBOWER

Social Worker

1115 BALL AVE NE
GRAND RAPIDS, MI 49505

Kent County (616) 456-1443

MRS. KELLY SUE BOPRIE LMSW

Social Worker (Clinical)

1115 BALL AVE NE, BUILDING C
GRAND RAPIDS, MI 49505

Kent County (616) 459-7215

KATHLEEN MONROE

Counselor

1115 BALL AVE NE
GRAND RAPIDS, MI 49505

Kent County (616) 456-6571

EMILY SALZMAN LMSW

Social Worker (Clinical)

1115 BALL AVE NE
GRAND RAPIDS, MI 49505

Kent County (616) 451-3001

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 Park's NPI number?

The NPI number for Crystal Park is 1669034948. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Where is Crystal Park located?

Crystal Park practices at 1115 Ball Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 456-6571.

What is Crystal Park's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Crystal Park was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.