Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013575877 Individual Practitioner Female Practitioner

Crystal N. Broughton

Counselor - Professional • Conyers, GA

Professional Overview & Biography Verified Profile Summary

Crystal Broughton is a registered healthcare professional specializing in Counselor - Professional in Conyers, GA. Practice services are available at 1775 PARKER RD SE STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1775 Parker Rd Se Ste 210

Conyers, GA 300946654

Telephone 4709678663
Fax 6782184253
Associated Practice Facility / Clinic
🏢 Sage Lake Home Care, Llc Facility NPI 1598235632

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Conyers, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
78 Specialists

Practicing in Conyers, GA (6655 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-31
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA 013641

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Ronnette Frank

Registered Nurse

NPI 1194346817
Shanelle Brown Best

Social Worker - Clinical

NPI 1245716984
NPI 1265023774

Registered Nurse, HEALTHCOACH

Andrea Williams

Counselor - Mental Health

NPI 1306365069
Keniesha Johnson

Non-emergency Medical Transport (VAN)

NPI 1386537033
Patrick Wood , LPC

Counselor - Professional

NPI 1427434141

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 31, 2024

Registered at 1775 PARKER RD SE STE 210, CONYERS, GA 300946654 (Tel: 4709678663)

📍
Updated Business Mailing Address January 31, 2024

Registered at 1007 GREEN ST SE UNIT 1823, CONYERS, GA 300125556 (Tel: 4709678663)

NPI Profile Active June 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2019

Registered at 2751 BUFORD HWY NE STE 202, ATLANTA, GA 303245456 (Tel: 4042542626)

📍
Updated Business Mailing Address June 05, 2019

Registered at 1705 HIGHWAY 138 SE UNIT 82022, CONYERS, GA 300139998 (Tel: 6789137112)

👤
Provider Name / Credentials Updated June 05, 2019

Recorded as CRYSTAL BROUGHTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2019

Counselor

🟢
Initial NPI Registration & Enumeration June 05, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Crystal Broughton. Be the first to share your experience!

Sign in to leave a review for Crystal Broughton

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013575877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2019
Last Update: January 31, 2024
Sole Proprietor: No

Mailing Address

1007 Green St Se Unit 1823

Conyers, GA 300125556

Phone: 4709678663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.