Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CRYSTAL MALLOY PHD, LPC, MAC, CEAP
NPI 1679958771
Counselor - Professional in Guyton, GA

Q: What is Crystal Malloy's NPI number?

The NPI number for Crystal Malloy is 1679958771. It was assigned to this individual provider in the NPPES registry on July 30, 2015.

Q: What is Crystal Malloy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Malloy was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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 30, 2015PECOS Enrolled

174 SCHOLAR RD, GUYTON, GA 31312(337) 396-5592 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 29, 2026, Nov 13, 2025, Nov 26, 2018 (3 updates tracked since 2018).

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About Dr. Crystal Malloy Phd, Lpc, Mac, Ceap NPPES

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

DR. CRYSTAL MALLOY PHD, LPC, MAC, CEAP (NPI 1679958771) is an individual professional provider in Guyton, Georgia, licensed in Georgia (LPC008241) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1679958771

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDR. CRYSTAL MALLOYCredential: PHD, LPC, MAC, CEAP

Location Address174 SCHOLAR RDGuyton, GA 31312-6240

Mailing Address174 Scholar RdGuyton, GA 31312-6240 · (337) 205-9357 · Fax (912) 250-6025

Phone(337) 396-5592

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateJuly 30, 2015

Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1679958771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in GA · LPC008241✔ Licensed in LA · 6233

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LPC08241 (GA)

Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License LPC008241 (GA)

Also ListedArt TherapistTaxonomy 221700000X · License LPC8241 (GA)

Also ListedMusic TherapistTaxonomy 225A00000X · License LC008241 (GA)

174 SCHOLAR RD, Guyton, GA 31312

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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

Dr. Crystal Malloy Phd, Lpc, Mac, Ceap 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 ID8022469360

PECOS Enrollment IDI20240110004725

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.

DR CRYSTAL MALLOY PHD LPC MAC CEAP LLC

Counselor (Mental Health)