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

Crystal Irish, LADAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972193266

Crystal Irish, LADAC is a Mental Health Counselor in White River Jct, Vermont. Qualified in 2019, 7 years ago. Practices with Clara Martin Center, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
7
Licensed in
VT
In the registry since
2021

Practice location Address checks out

39 Fogg Farm Rd
White River Jct, VT 05088-0508
Phone: (802) 295-1311
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 151.0134105 (VT)

Record details

NPI number1972193266
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADAC
Sole proprietorNo
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 6, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Clara Martin Center — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services