Crystal Mccurdy · Peer Specialist

2545 Ne Flanders St, Portland, OR 97232-3139

Overview

Crystal Mccurdy is a Peer Specialist practicing in Portland, Oregon. The National Provider Identifier (NPI) is #1164111225, which was assigned on May 4, 2023, and the registration record was last updated on May 4, 2023. The practitioner's main practice location is at 2545 Ne Flanders St, Portland, OR 97232-3139; the contact telephone number is 5032353546. The primary taxonomy of Crystal Mccurdy is Peer Specialist (175T00000X). Crystal Mccurdy is licensed to practice in the state of Oregon (#THW108627).

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Provider Information

NPI 1164111225
Entity Type Individual
Provider Name CRYSTAL MCCURDY
Gender Female
Practice Address 2545 Ne Flanders St
Portland
OR 97232-3139
Practice Telephone 5032353546
Mailing Address 232 Nw 6th Ave
Portland
OR 97209-3609
Mailing Telephone 5032941681
Certification Date 2023-05-04
Enumeration Date 2023-05-04
Last Update Date 2023-05-04
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y175T00000XPeer SpecialistTHW108627OR

Taxonomy Information

Primary Taxonomy

Code 175T00000X
Taxonomy Peer Specialist
Classification Peer Specialist
Grouping Other Service Providers
Definition: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

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Location Information

Street Address 2545 NE FLANDERS ST
City PORTLAND
State OR
Zip Code 97232-3139
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Karina Mae Leslie 2545 Ne Flanders St, Portland, OR 97232-3139Mental Health Counselor2020-03-26
Sarah Goforth 2545 Ne Flanders St, Portland, OR 97232-3139Addiction (Substance Use Disorder) Counselor2013-06-24
Shannon Howland 2545 Ne Flanders St, Portland, OR 97232-3139Peer Specialist2023-08-25
Joan Elaine Newhouse 2545 Ne Flanders St, Portland, OR 97232-3139Registered Nurse2014-11-10
Donna Easlick 2545 Ne Flanders St, Portland, OR 97232-3139Addiction (Substance Use Disorder) Counselor2013-06-24
Michelle Anne Kerrigan 2545 Ne Flanders St, Portland, OR 97232-3139Mental Health Counselor2019-03-06
Angela Dawn Owen 2545 Ne Flanders St, Portland, OR 97232-3139Case Manager/Care Coordinator2012-04-23
Saige A. Gracie 2545 Ne Flanders St, Portland, OR 97232-3139Addiction (Substance Use Disorder) Counselor2007-11-16
Desiree Dawn Stang 2545 Ne Flanders St, Portland, OR 97232-3139Addiction (Substance Use Disorder) Counselor2016-04-20
Linda Morford 2545 Ne Flanders St, Portland, OR 97232-3139Peer Specialist2015-08-06
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lori Kristen Miracle Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232Acupuncturist2019-12-12
Melisa Suzanne Titan 707 Ne Couch, Portland, OR 97232Social Worker2018-11-28
Jacob Alexander Walker · Lexi Walker 707 Ne Couch Street, Portland, OR 97232Social Worker2017-06-27
Sunny Jaynes Acupuncture 123 Ne 6th Ave., Portland, OR 97232Acupuncturist2016-12-06
Float North 1617 Ne 17th Ave., Portland, OR 97232Acupuncturist2018-06-20
Cheyenne Foster 335 Ne 18th Ave, Portland, OR 97232Student in an Organized Health Care Education/Training Program2022-07-06
Barbara Ann Failing 1605 Ne Broadway, Portland, OR 97232Specialist2016-09-20
Genevieve Moore 2161 Ne Broadway, Portland, OR 97232Acupuncturist2017-08-02
Raolat Ajibade IIi 847 N.e 19thave, Portland, OR 97232Adult Companion2016-12-29
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.