Crystal Reanee Kisselburgh, MA, LAC, LPCC in Grand Junction, CO

Crystal Reanee Kisselburgh, MA, LAC, LPCC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Grand Junction, Colorado. Her current practice location is 2956 North Ave Ste 1, Grand Junction, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 208-1103.

Crystal Reanee Kisselburgh is licensed to practice in Colorado (license number ACD.0001546) 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 1669071213.

Contact Information

	Crystal Reanee Kisselburgh, MA, LAC, LPCC
	2956 North Ave Ste 1, Grand Junction, CO 81504-3919
	(970) 208-1103
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Reanee Kisselburgh
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	2956 North Ave Ste 1, Grand Junction, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669071213
Provider Enumeration Date: 10/23/2020
Last Update Date: 04/20/2022

Medicare PECOS Information:

PECOS PAC ID: 8123559770
Enrollment ID: I20241007001936

Medical Identifiers

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

Identifier	Type	State	Issuer
1669071213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC.0026958 (Colorado)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	ACD.0001546 (Colorado)	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 Reanee Kisselburgh allows following entities to bill medicare on her behalf.

Entity Name	Community Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043640634 PECOS PAC ID: 1052612785 Enrollment ID: O20151222000695

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 Reanee Kisselburgh 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 Reanee Kisselburgh, MA, LAC, LPCC 649 Broken Spoke Rd, Grand Junction, CO 81504-6981 Ph: (970) 779-7824	Crystal Reanee Kisselburgh, MA, LAC, LPCC 2956 North Ave Ste 1, Grand Junction, CO 81504-3919 Ph: (970) 208-1103

Reviews and Comments

Counselor in Grand Junction, CO

Lisa Marie Evanich, MA, LPC, CACIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 28 Rd, Grand Junction, CO 81501 Phone: 970-260-3321
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Ms. Christine Claire Coffield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 White Ave, Grand Junction, CO 81501 Phone: 970-317-5361
Jennifer Vargas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1141 N 25th St Ste C, Grand Junction, CO 81501 Phone: 970-822-2644 Fax: 970-623-7673
Hailey Crane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2708 Patterson Rd, Grand Junction, CO 81506 Phone: 970-243-9539
Mrs. Teresa T. Bou-matar, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 677 25 1/2 Rd, Grand Junction, CO 81505 Phone: 970-260-7017

Crystal Reanee Kisselburgh, MA, LAC, LPCC - Medicare Counselor in Grand Junction, CO