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Crystal Mccubbin , MA, LPC, LAC, NCC

Counselor β€’ Frederick, CO

Active NPI 1811430325 Individual Practitioner Female Practitioner
Practice location in NPPES

3763 Imperial St Unit B
Frederick, CO 805169409

Call 7199245499 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3763 Imperial St Unit B

Frederick, CO 805169409

Telephone 7199245499
Organization at the Same NPPES Address or Phone
Growth And Transitions Mental Health Counseling And Consultation Facility NPI 1356051775

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Frederick and Colorado

3 active clinicians are listed under Counselor with a practice address in Frederick, CO (2,644 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-30
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES CO NLC 0105277

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

Contractor

NUCC Taxonomy Code: 171W00000X

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location November 30, 2023

Registered at 3763 IMPERIAL ST UNIT B, FREDERICK, CO 805169409 (Tel: 7199245499)

πŸ“
Updated Business Mailing Address November 30, 2023

Registered at 3763 IMPERIAL ST UNIT B, FREDERICK, CO 805169409 (Tel: 7199245549)

πŸ“
Updated Practice Location December 12, 2022

Registered at 11409 BUSINESS PARK CIR STE 230C, FIRESTONE, CO 805049200 (Tel: 7199245549)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2022

Counselor

πŸ“
Updated Business Mailing Address June 22, 2021

Registered at 4919 ST VRAIN RD, FIRESTONE, CO 805045339 (Tel: 7203293854)

πŸ‘€
Provider Name / Credentials Updated June 22, 2021

Recorded as CRYSTAL MCCUBBIN, MA, LPC, LAC, NCC

βœ…
NPI Profile Active December 01, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 01, 2016

Registered at 600 W 114TH PL, NORTHGLENN, CO 802343067 (Tel: 7203293854)

πŸ“
Business Mailing Address (Initial Record) December 01, 2016

Registered at 600 W 114TH PL, NORTHGLENN, CO 802343067 (Tel: 7203293854)

πŸ‘€
Provider Name / Credentials (Initial Record) December 01, 2016

Recorded as CRYSTAL MCCUBBIN, BS, RP, CAC II

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2016

Counselor (license number reported to NPPES: CO NLC 0105277)

🟒
Initial NPI Registration & Enumeration December 01, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811430325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2016
Last Update: November 30, 2023
Sole Proprietor: No

Mailing Address

3763 Imperial St Unit B

Frederick, CO 805169409

Phone: 7199245549

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.