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KRYSTAL DEVORE LISW-S
NPI 1689040107
Social Worker - Clinical in Medina, OH

Active since August 19, 2015PECOS Enrolled
246 NORTHLAND DR, SUITE 140, MEDINA, OH 44256(330) 723-9600(330) 722-1446 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 15, 2023, Feb 6, 2020 (2 updates tracked since 2020).

About Krystal Devore Lisw-s NPPES

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

KRYSTAL DEVORE LISW-S (NPI 1689040107) is an individual clinical provider in Medina, Ohio, licensed in Ohio (1302171) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689040107
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRYSTAL DEVORECredential: LISW-S
Location Address246 NORTHLAND DR, SUITE 140Medina, OH 44256-3441
Mailing Address246 Northland Dr, Suite 140Medina, OH 44256-3441 · (330) 723-9600 · Fax (330) 722-1446
Phone(330) 723-9600
Fax(330) 722-1446
Sole ProprietorYes
Enumeration DateAugust 19, 2015
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1689040107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in OH · 1302171✔ Licensed in OH · I.1302171
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
246 NORTHLAND DR, Medina, OH 44256
Open in Google Maps ↗

Other Identifiers 1

Medicaid0160326OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Insurance, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Devore Lisw-s 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MEGAN NORTH RN
Registered Nurse
246 NORTHLAND DR
MEDINA, OH 44256
Medina County (440) 260-8300
RAYCHEL BUETTNER
Community Health Worker
246 NORTHLAND DR
MEDINA, OH 44256
Medina County (440) 260-6835
ORIT RUBIN LPC
Counselor
246 NORTHLAND DR
MEDINA, OH 44256
Medina County (330) 725-9195
MEGAN KISH
Social Worker (Clinical)
246 NORTHLAND DR
MEDINA, OH 44256
Medina County (330) 725-9195
MISS BRITTANY KUNDA
Case Manager/Care Coordinator
246 NORTHLAND DR, SUITE 200A
MEDINA, OH 44256
Medina County (330) 725-9195
BRITTANY KRUCHAN QMHS CMS
Community Health Worker
246 NORTHLAND DR
MEDINA, OH 44256
Medina County (440) 260-8300
CATHERINE R KOLLETH LPCC-S, LMFT
Counselor (Professional)
246 NORTHLAND DR
MEDINA, OH 44256
Medina County (330) 725-9195
MRS. TERESA L MOWEN LSW
Social Worker (Clinical)
246 NORTHLAND DR, STE. 200A
MEDINA, OH 44256
Medina County (330) 725-9195

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 Krystal Devore's NPI number?

The NPI number for Krystal Devore is 1689040107. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Krystal Devore located?

Krystal Devore practices at 246 Northland Dr Suite 140, Medina, OH 44256. The listed phone number is (330) 723-9600.

What is Krystal Devore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Krystal Devore enrolled in Medicare?

Yes. Krystal Devore is registered in the Medicare PECOS enrollment system.

What insurance does Krystal Devore accept?

Health plans from Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Krystal Devore 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 Krystal Devore was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.