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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since September 27, 2022PECOS Enrolled
163 TOWN PL # 26, FAIRVIEW, TX 75069(214) 702-1840 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Feb 22, 2023, Feb 19, 2023 and 1 more (4 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 Fairview, 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 Address163 TOWN PL # 26Fairview, TX 75069-1821
Mailing Address163 Town Pl # 26Fairview, TX 75069-1821 · (214) 702-1840
Phone(214) 702-1840
Sole ProprietorNo
Enumeration DateSeptember 27, 2022
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ 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
163 TOWN PL # 26, Fairview, TX 75069
Open in Google Maps ↗

Other Names 1

Professional Name (2)Krystal Nicodemus Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Krystal Nicodemus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geode Health Of Texas, PLLC
3.3 mi
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 207 clinicians in this Medicare group
NPI 1851037162 (469) 854-3263

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

Other Providers at the Same Location NPPES

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

MENTALITY PLLC
Counselor (Mental Health)
163 TOWN PL # 26
FAIRVIEW, TX 75069
Collin County (214) 702-1840

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. The provider is also known as Krystal Nicodemus Lpc.

Where is Krystal Nicodemus located?

Krystal Nicodemus practices at 163 Town Pl # 26, Fairview, TX 75069. The listed phone number is (214) 702-1840.

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.

Which organization bills Medicare for Krystal Nicodemus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Nicodemus reassigns Medicare benefits to Geode Health Of Texas, PLLC (Allen, TX). The 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 Krystal Nicodemus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystal Nicodemus accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company, 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 October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.