CRYSTAL CARROLL MS CCC-SLP
NPI 1972216976
Speech-Language Pathologist in Palm Beach Gardens, FL
About Crystal Carroll Ms Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL CARROLL MS CCC-SLP (NPI 1972216976) is a healthcare organization registered as a speech-language pathologist in Palm Beach Gardens, Florida and active in the NPI registry since January 2023. The organization lists Crystal Carroll, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crystal Carroll Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Crystal Carroll Ms Ccc-Slp, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Carroll Ms Ccc-Slp's NPI number?
The NPI number for Crystal Carroll Ms Ccc-Slp is 1972216976. It was assigned to this organization in the NPPES registry on January 4, 2023.
Where is Crystal Carroll Ms Ccc-Slp located?
Crystal Carroll Ms Ccc-Slp is located at 10046 Daisy Ave, Palm Beach Gardens, FL 33410. The listed phone number is (806) 570-1523.
What is Crystal Carroll Ms Ccc-Slp's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Crystal Carroll Ms Ccc-Slp enrolled in Medicare?
Yes. Crystal Carroll Ms Ccc-Slp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crystal Carroll Ms Ccc-Slp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Crystal Carroll Ms Ccc-Slp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Crystal Carroll Ms Ccc-Slp was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Carroll Ms Ccc-Slp · NPI 1972216976
Speech-Language Pathologist organization in Palm Beach Gardens, Florida. Organization record, active in the CMS NPPES registry since January 4, 2023.
## Identity
- **NPI:** 1972216976 (Entity type: Organization)
- **Enumerated:** January 4, 2023
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Organization subpart:** No
- **Authorized official:** Crystal Carroll, OWNER
## Practice location
- **Address:** 10046 DAISY AVE, Palm Beach Gardens, FL 33410-4723
- **Phone:** (806) 570-1523
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Qualified Speech Language Pathologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972216976) · Data from the CMS NPPES public registry.