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Crystal Lynnette Leavitt , LPC

Counselor - Professional β€’ Bend, OR

Active NPI 1639745573 Individual Practitioner Female Practitioner
Practice location in NPPES

516 Sw 13th St Ste 201
Bend, OR 977023442

Call 5412929977 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

516 Sw 13th St Ste 201

Bend, OR 977023442

Telephone 5412929977
Fax 8884613135
Organization at the Same NPPES Address or Phone
Sage Wellness Llc Facility NPI 1992421796

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

NPI first issued

2021

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 Bend and Oregon

210 active clinicians are listed under Counselor - Professional with a practice address in Bend, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bend

4.8% of these 210 clinicians have the CMS telehealth indicator.

16.7% of these 210 clinicians are listed by CMS as accepting Medicare assignment.

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: 2023-11-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C7060
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: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location November 08, 2023

Registered at 516 SW 13TH ST STE 201, BEND, OR 977023442 (Tel: 5412929977)

πŸ“
Updated Business Mailing Address November 08, 2023

Registered at 516 SW 13TH ST STE 201, BEND, OR 977023442 (Tel: 5412929977)

πŸ“
Updated Practice Location October 13, 2022

Registered at 2955 N HWY 97 STE 100, BEND, OR 977037559 (Tel: 5412929977)

πŸ‘€
Provider Name / Credentials Updated October 13, 2022

Recorded as CRYSTAL LEAVITT, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2022

Counselor (license number reported to NPPES: OR C7060)

βœ…
NPI Profile Active June 01, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 01, 2021

Registered at 1569 SW NANCY WAY, BEND, OR 977023234 (Tel: 5416170377)

πŸ“
Business Mailing Address (Initial Record) June 01, 2021

Registered at 61331 BRIANNE PL, BEND, OR 977023066 (Tel: 9517330953)

πŸ‘€
Provider Name / Credentials (Initial Record) June 01, 2021

Recorded as CRYSTAL LEAVITT, MS,MBA LPC- INTERN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2021

Counselor

🟒
Initial NPI Registration & Enumeration June 01, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639745573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2021
Last Update: November 08, 2023
Sole Proprietor: No

Mailing Address

516 Sw 13th St Ste 201

Bend, OR 977023442

Phone: 5412929977

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.