CRYSTAL IRISH LADAC
NPI 1972193266
Counselor - Addiction (Substance Use Disorder) in White River Jct, VT
About Crystal Irish Ladac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL IRISH LADAC (NPI 1972193266) is an individual addiction (substance use disorder) provider in White River Jct, Vermont, licensed in Vermont (151.0134105) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Crystal Irish Ladac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Crystal Irish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Randolph, VT 05060
- Reassigned Medicare billing, Vermont enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Irish's NPI number?
The NPI number for Crystal Irish is 1972193266. It was assigned to this individual provider in the NPPES registry on January 21, 2021.
Where is Crystal Irish located?
Crystal Irish practices at 39 Fogg Farm Rd, White River Jct, VT 05088. The listed phone number is (802) 295-1311.
What is Crystal Irish's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Crystal Irish enrolled in Medicare?
Yes. Crystal Irish is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Crystal Irish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Irish reassigns Medicare benefits to Clara Martin Center (Randolph, VT). 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 Crystal Irish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Crystal Irish was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Crystal Irish, LADAC · NPI 1972193266
Addiction (Substance Use Disorder) provider in White River Jct, Vermont. Individual provider, active in the CMS NPPES registry since January 21, 2021.
## Identity
- **NPI:** 1972193266 (Entity type: Individual)
- **Enumerated:** January 21, 2021
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 151.0134105 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 39 FOGG FARM RD, White River Jct, VT 05088-0508
- **Phone:** (802) 295-1311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Clara Martin Center (NPI 1386710861, Randolph, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972193266) · Data from the CMS NPPES public registry.