CRYSTAL CREEK COUNSELING
NPI 1124553102
Counselor - Professional in Woodland Park, CO

NPI Status: Active since April 27, 2017

Contact Information

400 W MIDLAND AVE
WOODLAND PARK, CO
ZIP 80863
Phone: (719) 640-5344

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  • Organization
  • Counselor
  • Professional

About CRYSTAL CREEK COUNSELING

This page provides the complete NPI Profile along with additional information for Crystal Creek Counseling, a provider established in Woodland Park, Colorado operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1124553102 assigned on April 2017. The practitioner's primary taxonomy code is 101YP2500X with license number LPC.0012668 (CO). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jerilyn Yingling Lpc (Owner/clinician)

NPI
1124553102
Provider Name
CRYSTAL CREEK COUNSELING
Entity Type
Organization
Location Address
400 W MIDLAND AVE WOODLAND PARK, CO 80863
Location Phone
(719) 640-5344
Mailing Address
PO BOX 94 11120 PUEBLO AVE GREEN MOUNTAIN FALLS, CO 80819
Mailing Phone
(719) 640-5344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2017
Last Update Date
08-15-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC.0012668
License State
CO

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JERILYN YINGLING LPC

Authorized Official Title
OWNER/CLINICIAN
Authorized Official Phone
(719) 686-6703

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124553102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144105610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 0 + 5 + 6 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1124553102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275791949 KATHERINE DIANE CLARK LPC
Individual
Counselor (Professional)400 W MIDLAND AVE SUITE 202
WOODLAND PARK, CO 80863
(719) 687-2880
1174821623ST FRANCIS WOODS LLC
Organization
Assisted Living Facility400 W MIDLAND AVE POB. 5430
WOODLAND PARK, CO 80863
(719) 686-8140
1063710432MID-STATES SENIOR LIVING LLC
Organization
Skilled Nursing Facility400 W MIDLAND AVE POB 5430
WOODLAND PARK, CO 80863
(719) 686-8140
1427449974 CARRIE WATSON MA, LPC
Individual
Counselor (Professional)400 W MIDLAND AVE SUITE 160 A&B
WOODLAND PARK, CO 80863
(719) 963-5744
1093168650ASPIRE COUNSELING, LLC
Organization
Counselor (Professional)400 W MIDLAND AVE SUITE 160 A&B
WOODLAND PARK, CO 80863
(719) 963-5744
1780055574A WILLOW BENDS, LLC
Organization
Counselor (Addiction (Substance Use Disorder))400 W MIDLAND AVE SUITE 200
WOODLAND PARK, CO 80863
(719) 650-8114
1629852835 ERIN VAN EGMOND LCSW
Individual
Social Worker (Clinical)400 W MIDLAND AVE
WOODLAND PARK, CO 80863
(719) 238-5800
1851978340PLAY FOR LIFE THERAPY LLC
Organization
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)400 W MIDLAND AVE
WOODLAND PARK, CO 80863
(662) 832-8017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124553102, enumerated in the NPI registry as an "organization" on April 27, 2017

The provider is located at 400 W Midland Ave Woodland Park, Co 80863 and the phone number is (719) 640-5344

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on April 27, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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