CRYSTAL G TIDBALL
NPI 1871613166
Counselor - Mental Health in Oklahoma City, OK

Active since March 30, 2007
105 SE 45TH ST, OKLAHOMA CITY, OK 73129(405) 634-4400(405) 632-1976 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal G Tidball NPPES

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

CRYSTAL G TIDBALL (NPI 1871613166) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1871613166
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRYSTAL G TIDBALL
Location Address105 SE 45TH STOklahoma City, OK 73129-3201
Mailing Address105 Se 45th StOklahoma City, OK 73129-3201 · (405) 634-4400 · Fax (405) 632-1976
Fax(405) 632-1976
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1871613166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
105 SE 45TH ST, Oklahoma City, OK 73129

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.

Counselor (Professional)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129
Counselor (Mental Health)
105 SE 45TH ST
OKLAHOMA CITY, OK 73129

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 Tidball's NPI number?

The NPI number for Crystal Tidball is 1871613166. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Crystal Tidball located?

Crystal Tidball practices at 105 SE 45th St, Oklahoma City, OK 73129. The listed phone number is (405) 634-4400.

What is Crystal Tidball's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Crystal Tidball was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.