Dr Crystal Malloy, PHD, LPC, MAC, CEAP is a medicare enrolled "Counselor - Professional" provider in Guyton, Georgia. She graduated from healthcare school in 1991 and has 34 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Diversity Health Center Inc and her current practice location is
174 Scholar Rd, Guyton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(337) 396-5592.
Dr Crystal Malloy is licensed to practice in Georgia (license number LPC008241) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679958771.
Healthcare Provider's Profile
| Full Name | Dr Crystal Malloy |
|---|
| Gender | Female |
|---|
| Speciality | Mental Health Counselor |
|---|
| Experience | 34 Years |
|---|
| Location | 174 Scholar Rd, Guyton, Georgia |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Crystal Malloy graduated from medical school in 1991
NPI Data:
- NPI Number: 1679958771
- Provider Enumeration Date: 07/30/2015
- Last Update Date: 11/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022469360
- Enrollment ID: I20240110004725
Medical Identifiers
Medical identifiers for Dr Crystal Malloy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679958771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 6233 (Louisiana) | Secondary |
| 221700000X | Art Therapist | LPC8241 (Georgia) | Secondary |
| 106H00000X | Marriage & Family Therapist | LPC08241 (Georgia) | Secondary |
| 225A00000X | Music Therapist | LC008241 (Georgia) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | LPC008241 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC008241 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Diversity Health Center Inc | 9638261910 | 10 |
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. Dr Crystal Malloy allows following entities to bill medicare on her behalf.
| Entity Name | Diversity Health Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1326594714
PECOS PAC ID: 9638261910
Enrollment ID: O20110810000508 |
|---|
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. Dr Crystal Malloy 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 |
|---|
Dr Crystal Malloy, PHD, LPC, MAC, CEAP
174 Scholar Rd,
Guyton, GA 31312-6240
Ph: (337) 205-9357 | Dr Crystal Malloy, PHD, LPC, MAC, CEAP
174 Scholar Rd,
Guyton, GA 31312-6240
Ph: (337) 396-5592 |
Reviews and Comments