CRYSTAL DAWN FONVILLE (LMFT) – Marriage & Family Therapist, NPI 1073397162

CRYSTAL DAWN FONVILLE (LMFT) is a healthcare provider. based in Huntsville, Texas. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 203893 (TX). The NPI Number for CRYSTAL DAWN FONVILLE (LMFT) is 1073397162

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL DAWN FONVILLE (LMFT)
NPI
1073397162
Phone
(936) 291-5800
Address
7045 Highway 75 S
Enumeration Date
21 August 2023
Last Update Date
11 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9362592119
Graduation Year
2020 (6 years ago)
PAC ID
2264880251
Group Practice PAC ID
3173973377
Professional Enrollment ID
I20231201000972
Address ID
TX773514487LI1629XEXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

260 MARRIAGE AND FAMILY THERAPIST in TX

Provider Addresses for CRYSTAL DAWN FONVILLE (LMFT)

  • 7045 Highway 75 S

    Huntsville, TX 773407281

    Phone: (936) 291-5800

    Type: Location

  • 1629 US HIGHWAY 190 E

    LIVINGSTON, TX 773514487

    Phone: (936) 259-2119

    Fax: (936) 286-3106

    Type: Mailing

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: 2023-12-01

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
I20231201000972IMarriage And Family TherapistTXTBD

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 77340)

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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: 3173973377View full group profile
NameSpecialtyState
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorTX

Reviews

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Frequently asked questions

What is CRYSTAL DAWN FONVILLE (LMFT)'s NPI number?
CRYSTAL DAWN FONVILLE (LMFT)'s NPI is 1073397162 — the number used across U.S. healthcare to identify this provider.
Is CRYSTAL DAWN FONVILLE (LMFT) still an active registrant?
CRYSTAL DAWN FONVILLE (LMFT) carries an active NPI according to the public dataset.
How would a patient describe CRYSTAL DAWN FONVILLE (LMFT)'s focus?
For CRYSTAL DAWN FONVILLE (LMFT), the primary taxonomy reads as Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Is CRYSTAL DAWN FONVILLE (LMFT) associated with Huntsville?
Public fields place CRYSTAL DAWN FONVILLE (LMFT) around Huntsville, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for CRYSTAL DAWN FONVILLE (LMFT) is noted as August 21, 2023 where the registry provides it.

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