CRYSTAL DAWN STATOM LPC
NPI 1952146656
Counselor in Milford, OH

Q: What is Crystal Statom's NPI number?

The NPI number for Crystal Statom is 1952146656. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Q: What is Crystal Statom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Statom was last updated on June 26, 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.

Active since June 26, 2024PECOS Enrolled

970 LILA AVE, MILFORD, OH 45150(513) 201-5440 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Crystal Dawn Statom Lpc NPPES

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

CRYSTAL DAWN STATOM LPC (NPI 1952146656) is an individual counselor in Milford, Ohio, licensed in Ohio (C.2406232) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952146656

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCRYSTAL DAWN STATOMCredential: LPC

Location Address970 LILA AVEMilford, OH 45150-1683

Mailing Address115 Lynnview DrMason, OH 45040-1819 · (518) 903-0537

Phone(513) 201-5440

Sole ProprietorNo

Enumeration DateJune 26, 2024

NPPES CertifiedJune 26, 2024

✔ NPI 1952146656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · C.2406232

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

970 LILA AVE, Milford, OH 45150

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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 Dawn Statom 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 10

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

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