NPI age
7 years
Enumerated 2019-01-21
● Active
Type 1 · Individual
Crystal Ann Nystrom, LCPC
Nystrom is 1 of 23 counselor providers in Lewiston and 1 of 1313 in Idaho.
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-01-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1313 active counselor providers in Idaho.
NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
2 states
Top 95% — 5% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-01Enumerated in NPPES
2019
2026
Where they practice
Practice location
2335 Main St
Lewiston, ID 835013242
Mailing address
2901 Meadowlark Dr
Lewiston, ID 835019668
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 0675366780 | HPSO LIABILITY INSURANCE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1313 Counselor providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.