Crystal N. Broughton
Counselor - Professional β’ Conyers, GA
1775 Parker Rd Se Ste 210
Conyers, GA 300946654
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
1775 Parker Rd Se Ste 210
Conyers, GA 300946654
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2019
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, CMS release of October 2, 2026; Medicare.gov, βDoes your provider accept Medicare as full payment?β
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, CMS release of October 2, 2026.
Compared with the same specialty in Conyers and Georgia
81 active clinicians are listed under Counselor - Professional with a practice address in Conyers, GA (6,613 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Conyers
2.5% of these 81 clinicians have the CMS telehealth indicator.
8.6% of these 81 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2024-01-31NUCC Taxonomy Code: 101YP2500X
NUCC Taxonomy Code: 101Y00000X
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.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1775 PARKER RD SE STE 210, CONYERS, GA 300946654 (Tel: 4709678663)
Registered at 1007 GREEN ST SE UNIT 1823, CONYERS, GA 300125556 (Tel: 4709678663)
NPI status registered as active in NPPES database
Registered at 2751 BUFORD HWY NE STE 202, ATLANTA, GA 303245456 (Tel: 4042542626)
Registered at 1705 HIGHWAY 138 SE UNIT 82022, CONYERS, GA 300139998 (Tel: 6789137112)
Recorded as CRYSTAL BROUGHTON
Counselor
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
1007 Green St Se Unit 1823
Conyers, GA 300125556
Phone: 4709678663