CRYSTAL LAKE
NPI 1689716607
Community/Behavioral Health in Lakeview, NC

Active since February 13, 2007
285 CAMP EASTER RD, LAKEVIEW, NC 28350(910) 245-4339(910) 245-4799 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crystal Lake NPPES

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

CRYSTAL LAKE (NPI 1689716607) is a healthcare organization registered as a community/behavioral health in Lakeview, North Carolina and active in the NPI registry since February 2007. The organization lists Tim Hall, Vp/chief Of Behavioral Health Svcs, as its authorized official.

NPPES Registry Identity

NPI1689716607
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameROBESON HEALTH CARE CORPORATION
Location Address285 CAMP EASTER RDLakeview, NC 28350-1901
Mailing Address60 Commerce DrivePembroke, NC 28372 · (910) 521-2900 · Fax (910) 272-1654
Fax(910) 245-4799
Organization SubpartNo
Authorized OfficialTim HallVp/chief Of Behavioral Health Svcs · (910) 521-2900
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJune 28, 2017
✔ NPI 1689716607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · MHL-063-055
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License MHL-063-055 (NC)
285 CAMP EASTER RD, Lakeview, NC 28350

Other Names 1

Doing Business AsCrystal Lake

Other Identifiers 7

Medicaid8300803NC
Medicaid8300803PNC
Medicaid8300803QNC
Medicaid8300803GNC
Medicaid8300803BNC
Medicaid6005787NC
Medicare PIN2804358NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Lake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Crystal Lake, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner16
Family Practice2
Clinical Social Worker1
Mental Health Counselor1

Clinicians, nearest first (20)

Nurse Practitioner
NPI 1053091900
1638 OWEN DR
Fayetteville, NC 28304
(910) 615-4000
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1760356745
302 MOUNT TABOR RD
Red Springs, NC 28377
(910) 227-2850
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1205466620
302 MOUNT TABOR RD
Red Springs, NC 28377
(910) 227-2850
✔ PECOS✔ Accepts Medicare31 mi
Mental Health Counselor
NPI 1669719886
302 MOUNT TABOR RD
Red Springs, NC 28377
(910) 227-2850
✔ PECOS31 mi
Nurse Practitioner
NPI 1548927841
507 LAUCHWOOD DR
Laurinburg, NC 28352
(910) 506-4682
✔ PECOS✔ Accepts Medicare35 mi
Family Practice
NPI 1164469920
610 E DR MARTIN LUTHER KING JR DR
Maxton, NC 28364
(910) 844-5253
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1871233957
610 E DR MARTIN LUTHER KING JR DR
Maxton, NC 28364
(910) 844-5253
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1114485505
610 E DR MARTIN LUTHER KING JR DR
Maxton, NC 28364
(910) 844-5253
✔ PECOS35 mi
Nurse Practitioner
NPI 1407773211
128 E BROAD ST
Saint Pauls, NC 28384
(910) 241-3042
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1023872751
128 E BROAD ST
Saint Pauls, NC 28384
(910) 241-3042
✔ PECOS✔ Accepts Medicare36 mi
Clinical Social Worker
NPI 1144820986
128 E BROAD ST
Saint Pauls, NC 28384
(910) 241-3042
✔ PECOS36 mi
Nurse Practitioner
NPI 1952300980
307 E WARDELL DR
Pembroke, NC 28372
(910) 521-2816
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1639734197
307 E WARDELL DR
Pembroke, NC 28372
(910) 521-2816
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1689226920
307 E WARDELL DR
Pembroke, NC 28372
(910) 521-2816
✔ PECOS✔ Accepts Medicare39 mi
Family Practice
NPI 1437158201
725 OAKRIDGE BLVD SUITE B2
Lumberton, NC 28358
(910) 671-0052
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1679114938
800 MARTIN LUTHER KING JR DR
Lumberton, NC 28358
(910) 370-0815
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1659848158
800 MARTIN LUTHER KING JR DR
Lumberton, NC 28358
(910) 370-0815
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1700733094
1309 E 5TH ST
Lumberton, NC 28358
(910) 739-1666
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1548828106
1309 E 5TH ST
Lumberton, NC 28358
(910) 739-1666
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1467179234
1309 E 5TH ST
Lumberton, NC 28358
(910) 739-1666
✔ PECOS✔ Accepts Medicare47 mi

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

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 Robeson Health Care Corporation's NPI number?

The NPI number for Robeson Health Care Corporation is 1689716607. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Crystal Lake.

Where is Robeson Health Care Corporation located?

Robeson Health Care Corporation is located at 285 Camp Easter Rd, Lakeview, NC 28350. The listed phone number is (910) 245-4339.

What is Robeson Health Care Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Robeson Health Care Corporation enrolled in Medicare?

Yes. Robeson Health Care Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robeson Health Care Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Robeson Health Care Corporation. A 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 the clinician's services. The largest specialties are Nurse Practitioner (16), Family Practice (2) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robeson Health Care Corporation was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.