Crystin G Roufaeil, LPCC in Agoura Hills, CA - Medicare Counselor Provider

Crystin G Roufaeil, LPCC is a medicare enrolled "Counselor - Professional" provider in Agoura Hills, California. Her current practice location is 5012 Chesebro Rd Ste 200, Agoura Hills, California. You can reach out to her office (for appointments etc.) via phone at (925) 282-1778.

Crystin G Roufaeil is licensed to practice in California (license number LPCC13247) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437630357.

Contact Information

	Crystin G Roufaeil, LPCC
	5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301-2287
	(925) 282-1778
	(415) 296-5299

Map and Direction

Healthcare Provider's Profile

Full Name	Crystin G Roufaeil
Gender	Female
Speciality	Counselor - Professional
Location	5012 Chesebro Rd Ste 200, Agoura Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437630357
Provider Enumeration Date: 08/28/2018
Last Update Date: 12/06/2024

Medicare PECOS Information:

PECOS PAC ID: 3779935903
Enrollment ID: I20240123003656

Medical Identifiers

Medical identifiers for Crystin G Roufaeil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437630357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPCC13247 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crystin G Roufaeil allows following entities to bill medicare on her behalf.

Entity Name	Pacific Coast Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383

Entity Name	Emotional Change Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861753337 PECOS PAC ID: 7315198959 Enrollment ID: O20121108000191

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystin G Roufaeil is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Crystin G Roufaeil, LPCC 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301-2287 Ph: (925) 282-1778	Crystin G Roufaeil, LPCC 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301-2287 Ph: (925) 282-1778

Reviews and Comments

Counselor in Agoura Hills, CA

Jacob Paul Chun, MA, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30125 Agoura Rd Ste F, Agoura Hills, CA 91301 Phone: 424-235-3113
Mr. Steven G Firestone, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5923 Kanan Rd, Agoura Hills, CA 91301 Phone: 818-889-3905
Ludmila Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4101 Yankee Dr, Agoura Hills, CA 91301 Phone: 818-536-1020
Lois Lorback, CCHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 28632 Roadside Dr Ste 170, Agoura Hills, CA 91301 Phone: 818-309-9927
Jefffrey Dacks Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30125 Agoura Rd Ste E, Agoura Hills, CA 91301 Phone: 805-659-8429
Michelle Denise Wurangian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30101 Agoura Ct # 240a, Agoura Hills, CA 91301 Phone: 747-235-9066
Mr. Richard K Hagaman Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30125 Agoura Rd Ste F, Agoura Hills, CA 91301 Phone: 805-659-8429

Crystin G Roufaeil, LPCC - Medicare Counselor in Agoura Hills, CA