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PENNY JENNIFER ANN CRISOSTOMO RADT
NPI 1831715192
Counselor - Addiction (Substance Use Disorder) in Trabuco Canyon, CA

Active since June 23, 2020
20331 FLANAGAN ROAD, TRABUCO CANYON, CA 92679(818) 582-8832(818) 582-8836 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Penny Jennifer Ann Crisostomo Radt NPPES

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

PENNY JENNIFER ANN CRISOSTOMO RADT (NPI 1831715192) is an individual addiction (substance use disorder) provider in Trabuco Canyon, California, licensed in California (R1371921119) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1831715192
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePENNY JENNIFER ANN CRISOSTOMOCredential: RADT
Location Address20331 FLANAGAN ROADTrabuco Canyon, CA 92679
Mailing Address2301 E Ball Rd Apt 153Anaheim, CA 92806-5312 · (949) 379-9937
Phone(818) 582-8832
Fax(818) 582-8836
Sole ProprietorNo
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1831715192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1371921119
20331 FLANAGAN ROAD, Trabuco Canyon, CA 92679
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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.

MS. JOHN PAUL ZUNIGA RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MS. GINA REIGH FRAGA RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
LYNN MARIE NYHUS RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
KELSEY FREDENBERG
Social Worker
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MS. YOLITA HENDRICKS RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
DAISY RAMIREZ
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
ATLANTA DANIELLE ST.MARTIN RADT
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832
MYKAYLA SWANSON
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Orange County (818) 582-8832

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 Penny Crisostomo's NPI number?

The NPI number for Penny Crisostomo is 1831715192. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Penny Crisostomo located?

Penny Crisostomo practices at 20331 Flanagan Road, Trabuco Canyon, CA 92679. The listed phone number is (818) 582-8832.

What is Penny Crisostomo's specialty?

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

When was this NPI record last updated?

The NPPES record for Penny Crisostomo was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.