Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Derose

Individual provider Professional Counselor · NPI 1083155410

Crystal Derose is a Marriage and Family Therapist in New Freedom, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2017

Practice location Address checks out

781 Far Hills Dr Ste 600
New Freedom, PA 17349-8404
Phone: (717) 812-2560
Fax: (717) 812-2569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC008595 (PA)

Record details

NPI number1083155410
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2017
Last updated in NPPESAugust 12, 2025
Certification dateAugust 11, 2025
Mailing address781 Far Hills Dr Ste 600, New Freedom, PA 17349-8404

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in New Freedom