CRYSTAL REANEE KISSELBURGH MA, LAC, LPCC
NPI 1669071213
Counselor - Addiction (Substance Use Disorder) in Grand Junction, CO

Active since October 23, 2020PECOS EnrolledAccepts Medicare Assignment
2956 NORTH AVE STE 1, GRAND JUNCTION, CO 81504(970) 208-1103 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2022, Oct 23, 2020 (2 updates tracked since 2020).

About Crystal Reanee Kisselburgh Ma, Lac, Lpcc NPPES

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

CRYSTAL REANEE KISSELBURGH MA, LAC, LPCC (NPI 1669071213) is an individual addiction (substance use disorder) provider in Grand Junction, Colorado, licensed in Colorado (ACD.0001546) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Junction, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669071213
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL REANEE KISSELBURGHCredential: MA, LAC, LPCC
Location Address2956 NORTH AVE STE 1Grand Junction, CO 81504-3919
Mailing Address649 Broken Spoke RdGrand Junction, CO 81504-6981 · (970) 779-7824
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 23, 2020
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1669071213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CO · ACD.0001546
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC.0026958 (CO)
2956 NORTH AVE STE 1, Grand Junction, CO 81504

Secondary Practice Location 1

Location 11150 N 25th St Ste DGrand Junction, CO 81501-6561 · Phone (970) 779-7824

Accepted Insurance

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 Reanee Kisselburgh Ma, Lac, Lpcc 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 ID8123559770
PECOS Enrollment IDI20241007001936
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 3

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

Clinic/Center (Methadone)
2956 NORTH AVE STE 1
GRAND JUNCTION, CO 81504
Clinic/Center (Methadone)
2956 NORTH AVE STE 1
GRAND JUNCTION, CO 81504
Counselor (Addiction (Substance Use Disorder))
2956 NORTH AVE STE 1
GRAND JUNCTION, CO 81504

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 Kisselburgh's NPI number?

The NPI number for Crystal Kisselburgh is 1669071213. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Where is Crystal Kisselburgh located?

Crystal Kisselburgh practices at 2956 North Ave Ste 1, Grand Junction, CO 81504. The listed phone number is (970) 208-1103.

What is Crystal Kisselburgh's specialty?

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

Is Crystal Kisselburgh enrolled in Medicare?

Yes. Crystal Kisselburgh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Crystal Kisselburgh accept?

Health plans from University of Utah Health Plans list Crystal Kisselburgh 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 Kisselburgh was last updated on April 20, 2022. 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.