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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1942785407

Crystalin Rennee Thompson, LMHCA, SUDP is a Mental Health Counselor in Puyallup, Washington. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

104 W Main
Puyallup, WA 98371-8904
Phone: (253) 686-1319
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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 MC61571030 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1942785407
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHCA , SUDP
Sole proprietorYes
NPI enumeratedOctober 1, 2018
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Puyallup