Crystal Graves · Crystal L Mesillas · Peer Specialist

14600 Nw Cornell, Portland, OR 97229

Overview

Crystal Graves is a Peer Specialist practicing in Portland, Oregon. The National Provider Identifier (NPI) is #1538610670, which was assigned on October 24, 2016, and the registration record was last updated on February 21, 2019. The practitioner's main practice location is at 14600 Nw Cornell, Portland, OR 97229; the contact telephone number is 5038564571. The primary taxonomy of Crystal Graves is Peer Specialist (175T00000X). Crystal Graves is licensed to practice in the state of Oregon.

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 1538610670
Entity Type Individual
Provider Name CRYSTAL GRAVES
Other Name CRYSTAL L MESILLAS
(Former Name)
Gender Female
Practice Address 14600 Nw Cornell
Portland
OR 97229
Practice Telephone 5038564571
Mailing Address 7302 Se Claybourne St
Portland
OR 97026
Mailing Telephone 5038564571
Enumeration Date 2016-10-24
Last Update Date 2019-02-21
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y175T00000XPeer SpecialistOR

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 14600 NW CORNELL
City PORTLAND
State OR
Zip Code 97229
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Hannah Mccurley-Kemp 14600 Nw Cornell Rd, Portland, OR 97229-5442Student in an Organized Health Care Education/Training Program2020-07-31
Jennifer Anne Gibson 14600 Nw Cornell Rd, Portland, OR 97229-5442Counselor2020-02-20
Timothy Kelly 14600 Nw Cornell Rd, Portland, OR 97229-5442Peer Specialist2020-02-17
Patricia Munoz 14600 Nw Cornell Rd, Portland, OR 97229-5442Case Manager/Care Coordinator2020-02-12
Clark Hazel 14600 Nw Cornell Rd, Portland, OR 97229-5442Clinical Social Worker2020-09-08
Cynthia Irene Shipley 14600 Nw Cornell Rd, Portland, OR 97229-5442Student in an Organized Health Care Education/Training Program2020-11-10
Lindsy Jean Brownson 14600 Nw Cornell Rd, Portland, OR 97229-5442Student in an Organized Health Care Education/Training Program2020-09-21
Alexa Durkin-Tang 14600 Nw Cornell Rd, Portland, OR 97229-5442Counselor2021-01-25
Brian West 14600 Nw Cornell Rd, Portland, OR 97229-5442Peer Specialist2020-05-07
Sophonie Graham 14600 Nw Cornell Rd, Portland, OR 97229-5442Case Manager/Care Coordinator2020-08-04
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Karen Ann Mackay 3300 Nw 185th, 200, Portland, OR 97229Chiropractor2006-10-04
Pharmaca Integrative Pharmacy, Inc. 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229Community/Retail Pharmacy2014-12-29
Evelin James 5879 Nw Lark Meadow Ter, Portland, OR 97229Dental Hygienist2016-04-11
Spark Relational Counseling, LLC 4804 Nw Bethany Blvd, I-2, #424, Portland, OR 97229Clinic/Center2024-01-16
Caroline N Jacobs 4804 Nw Bethany Blvd, Ste I-2, #142, Portland, OR 97229Psychiatric/Mental Health Nurse Practitioner2010-07-03
Eudaemonia Equine Connections, Inc. 515 Nw Saltzman Rd #744, Portland, OR 97229Marriage & Family Therapist2022-02-13
Nathaniel M Austria 4732 Nw Bethany Blvd., Suite G 2, Portland, OR 97229Dentist2007-05-01
Alexandra Elizabeth Lodwig 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229Speech-Language Pathologist2019-08-01
Julia R Robinson 3207 N.W. Chapin Drive, Portland, OR 97229Speech-Language Pathologist2009-09-14
Therapeutic Associates Inc 3188 Nw 185th Ave, A-11, Portland, OR 97229Occupational Therapist2024-10-28
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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.