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CRYSTAL LYNN MCCOLLISTER LMHCA
NPI 1902682099
Counselor - Mental Health in Fort Wayne, IN

Active since September 05, 2023PECOS Enrolled
12948 COLDWATER RD STE 101, FORT WAYNE, IN 46845(260) 373-0880(260) 373-0881 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Lynn Mccollister Lmhca NPPES

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

CRYSTAL LYNN MCCOLLISTER LMHCA (NPI 1902682099) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (99119702A) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902682099
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRYSTAL LYNN MCCOLLISTERCredential: LMHCA
Location Address12948 COLDWATER RD STE 101Fort Wayne, IN 46845-8016
Mailing Address12948 Coldwater Rd Ste 101Fort Wayne, IN 46845-8016 · (260) 373-0880 · Fax (260) 373-0881
Phone(260) 373-0880
Fax(260) 373-0881
Sole ProprietorYes
Enumeration DateSeptember 5, 2023
NPPES CertifiedSeptember 5, 2023
✔ NPI 1902682099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 99119702A
12948 COLDWATER RD STE 101, Fort Wayne, IN 46845
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Other Names 1

Former Name (1)Crystal Lynn Jones

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Lynn Mccollister Lmhca 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TINA MARIE PARKER LMFT
Marriage & Family Therapist
12948 COLDWATER RD STE 101
FORT WAYNE, IN 46845
Allen County (260) 373-0880
LISA ELAINE SELLS LMHCA
Counselor (Mental Health)
12948 COLDWATER RD STE 101
FORT WAYNE, IN 46845
Allen County (260) 373-0880
ABERDEEN GROUP LLC
Psychologist
12948 COLDWATER RD STE 101
FORT WAYNE, IN 46845
Allen County (260) 373-0880
ALYSON KLINE LMHCA
Counselor (Mental Health)
12948 COLDWATER RD STE 101
FORT WAYNE, IN 46845
Allen County (260) 373-0880
DR. ANDREW JAMES MILLER PSYD, HSPP
Psychologist (Clinical)
12948 COLDWATER RD STE 101
FORT WAYNE, IN 46845
Allen County (260) 373-0880
RACHEL E ROBERTS LCSW
Social Worker (Clinical)
12948 COLDWATER RD STE 101
FORT WAYNE, IN 46845
Allen County (260) 373-0880
ABERDEEN GROUP LLC
Psychologist
12948 COLDWATER RD STE 101
FORT WAYNE, IN 46845
Allen County (260) 373-0880
ANNA KATHERINE RIGGENBACH LMHC
Counselor (Mental Health)
12948 COLDWATER RD STE 101
FORT WAYNE, IN 46845
Allen County (260) 373-0880

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 Mccollister's NPI number?

The NPI number for Crystal Mccollister is 1902682099. It was assigned to this individual provider in the NPPES registry on September 5, 2023. The provider is also known as Crystal Lynn Jones.

Where is Crystal Mccollister located?

Crystal Mccollister practices at 12948 Coldwater Rd Ste 101, Fort Wayne, IN 46845. The listed phone number is (260) 373-0880.

What is Crystal Mccollister's specialty?

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

Is Crystal Mccollister enrolled in Medicare?

Yes. Crystal Mccollister is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Mccollister was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.