Crystal Kuykendall, LPC-MHSP in Decaturville, TN

Crystal Kuykendall, LPC-MHSP is a medicare enrolled "Counselor - Mental Health" provider in Decaturville, Tennessee. Her current practice location is 259 W Main St, Decaturville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 852-3112.

Crystal Kuykendall is licensed to practice in Tennessee (license number LPC6454) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174376750.

Contact Information

	Crystal Kuykendall, LPC-MHSP
	259 W Main St, Decaturville, TN 38329-8033
	(731) 852-3112
	(731) 852-3222

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Kuykendall
Gender	Female
Speciality	Counselor - Mental Health
Location	259 W Main St, Decaturville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174376750
Provider Enumeration Date: 04/11/2024
Last Update Date: 04/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1052751880
Enrollment ID: I20240426002843

Medical Identifiers

Medical identifiers for Crystal Kuykendall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174376750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC6454 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crystal Kuykendall allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Centers & Clinics Of Tennessee
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255442794 PECOS PAC ID: 3678475621 Enrollment ID: O20040121001005

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Kuykendall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Crystal Kuykendall, LPC-MHSP 10710 Old Highway 64, Bolivar, TN 38008-3587 Ph: (731) 658-6115	Crystal Kuykendall, LPC-MHSP 259 W Main St, Decaturville, TN 38329-8033 Ph: (731) 852-3112

Reviews and Comments

Counselor in Decaturville, TN

Tammy R Scott, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 W Main St, Decaturville, TN 38329 Phone: 731-852-3112 Fax: 731-852-3222
Teresa Nowell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 W Main St, Decaturville, TN 38329 Phone: 731-852-3112 Fax: 731-852-3222
Dana Savage, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 West Main Street, Decaturville, TN 38329 Phone: 731-852-3112 Fax: 731-852-3222
Amanda Christine Salas, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 437 Roach Rd, Decaturville, TN 38329 Phone: 731-307-5302
Holly M Zelno, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 W Main St, Decaturville, TN 38329 Phone: 731-852-3112 Fax: 731-852-3222
Melissa Isbell, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 W Main St, Decaturville, TN 38329 Phone: 731-852-3112 Fax: 731-852-3222

Crystal Kuykendall, LPC-MHSP - Medicare Counselor in Decaturville, TN