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KRYSTAL NICODEMUS LPC
NPI 1952025587
Counselor - Mental Health in Flower Mound, TX

Active since September 27, 2022PECOS Enrolled
777 INTERNATIONAL PKWY STE 260, FLOWER MOUND, TX 75022(972) 221-7900 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2023, Feb 19, 2023, Sep 27, 2022 (3 updates tracked since 2022).

About Krystal Nicodemus Lpc NPPES

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

KRYSTAL NICODEMUS LPC (NPI 1952025587) is an individual mental health provider in Flower Mound, Texas, licensed in Texas (85621) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952025587
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRYSTAL NICODEMUSCredential: LPC
Location Address777 INTERNATIONAL PKWY STE 260Flower Mound, TX 75022-5303
Mailing Address4645 Avon Ln Ste 190bFrisco, TX 75033-1549 · (972) 259-0109
Phone(972) 221-7900
Sole ProprietorNo
Enumeration DateSeptember 27, 2022
Last NPPES UpdateMarch 14, 20243 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1952025587 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 TX · 85621
777 INTERNATIONAL PKWY STE 260, Flower Mound, TX 75022
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Other Names 1

Former Name (1)Krystal Nicodemus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan and more.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 Nicodemus Lpc 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 5

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

DR. OLADELE ADEPITAN ADEBOGUN MD. PA.
Psychiatry & Neurology (Psychiatry)
777 INTERNATIONAL PKWY STE 260
FLOWER MOUND, TX 75022
Denton County (972) 221-7900
YOKE LIM-WILSON
Counselor (Professional)
777 INTERNATIONAL PKWY STE 260
FLOWER MOUND, TX 75022
Denton County (214) 310-0508
CHRISTINE YAP PA-C
Physician Assistant
777 INTERNATIONAL PKWY STE 260
FLOWER MOUND, TX 75022
Denton County (972) 221-7900
CANDICE HUTCHINGS LPC
Counselor (Professional)
777 INTERNATIONAL PKWY STE 260
FLOWER MOUND, TX 75022
Denton County (972) 221-7900
FOLASHADE WILLIAMS LMFT-A
Marriage & Family Therapist
777 INTERNATIONAL PKWY STE 260
FLOWER MOUND, TX 75022
Denton County (972) 221-7900

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 Nicodemus's NPI number?

The NPI number for Krystal Nicodemus is 1952025587. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Krystal Nicodemus located?

Krystal Nicodemus practices at 777 International Pkwy Ste 260, Flower Mound, TX 75022. The listed phone number is (972) 221-7900.

What is Krystal Nicodemus's specialty?

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

Is Krystal Nicodemus enrolled in Medicare?

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

What insurance does Krystal Nicodemus accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan, UnitedHealthcare and WellPoint list Krystal Nicodemus 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 Nicodemus was last updated on March 14, 2024. 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.