CRYSTAL AMANDA PITTS – Mental Health Counselor, NPI 1225678576

CRYSTAL AMANDA PITTS is a healthcare provider. based in Moore, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 10602 (OK). The NPI Number for CRYSTAL AMANDA PITTS is 1225678576

Main info

Female
Sole Proprietor
5 Years Of Experience
Name
CRYSTAL AMANDA PITTS
NPI
1225678576
Phone
(405) 317-7646
Address
628 ALLISON LN
Enumeration Date
14 January 2020
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802242929
Graduation Year
2021 (5 years ago)
PAC ID
9830537612
Group Practice PAC ID
0446584205
Professional Enrollment ID
I20240401000057
Address ID
OK734016321AR333XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for CRYSTAL AMANDA PITTS

  • 628 ALLISON LN

    MOORE, OK 73160

    Phone: (405) 317-7646

    Type: Mailing

  • 1211 MAGNOLIA CT STE 101

    MOORE, OK 731601396

    Phone: (405) 317-7646

    Type: Mailing

  • 1211 MAGNOLIA COURT

    SUITE 101

    MOORE, OK 73160

    Phone: (405) 317-7646

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240401000057IMental Health CounselorOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73160)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446584205View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

How is CRYSTAL AMANDA PITTS identified in CMS data?
CMS-hosted NPPES data lists CRYSTAL AMANDA PITTS with NPI 1225678576.
Is CRYSTAL AMANDA PITTS listed as active for patients and plans?
The listing shows CRYSTAL AMANDA PITTS as active in the NPI system.
What taxonomy line describes CRYSTAL AMANDA PITTS?
For research purposes, treat CRYSTAL AMANDA PITTS as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CRYSTAL AMANDA PITTS on a map?
Expect Moore, Oklahoma as a primary anchor for CRYSTAL AMANDA PITTS unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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