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CRYSTAL B GREEN-RANDLE
NPI 1982008835
Counselor - Professional in Catonsville, MD

Active since October 21, 2014PECOS Enrolled
1031 INGLESIDE AVE, CATONSVILLE, MD 21228(443) 763-3718(410) 744-7309 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal B Green-randle NPPES

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

CRYSTAL B GREEN-RANDLE (NPI 1982008835) is an individual professional provider in Catonsville, Maryland, licensed in Maryland (LC7361) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1982008835
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCRYSTAL B GREEN-RANDLE
Location Address1031 INGLESIDE AVECatonsville, MD 21228-1318
Mailing Address1031 Ingleside AveCatonsville, MD 21228-1318 · (443) 763-3718 · Fax (410) 744-7309
Phone(443) 763-3718
Fax(410) 744-7309
Sole ProprietorYes
Enumeration DateOctober 21, 2014
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedNovember 23, 2020
✔ NPI 1982008835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC7361
1031 INGLESIDE AVE, Catonsville, MD 21228
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Secondary Practice Location 1

Location 14015 W Franklin StBaltimore, MD 21229-2916 · Phone (443) 415-5075

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Crystal B Green-randle 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.

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 Green-randle's NPI number?

The NPI number for Crystal Green-randle is 1982008835. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Crystal Green-randle located?

Crystal Green-randle practices at 1031 Ingleside Ave, Catonsville, MD 21228. The listed phone number is (443) 763-3718.

What is Crystal Green-randle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Crystal Green-randle enrolled in Medicare?

Yes. Crystal Green-randle is registered in the Medicare PECOS enrollment system.

What insurance does Crystal Green-randle accept?

Health plans from Providence Health Plan list Crystal Green-randle 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 Crystal Green-randle was last updated on December 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.