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

Crystal Lynn McCollister, LMHCA

Individual provider Mental Health Counselor · NPI 1902682099

Crystal Lynn McCollister, LMHCA is a Mental Health Counselor in Fort Wayne, Indiana. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
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Practice location Address checks out

12948 Coldwater Rd Ste 101
Fort Wayne, IN 46845-8016
Phone: (260) 373-0880
Fax: (260) 373-0881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 99119702A (IN)

Record details

NPI number1902682099
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHCA
Sole proprietorYes
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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