Dr Crystal Malloy, PHD, LPC, MAC, CEAP in Guyton, GA - Medicare Mental Health Counselor Provider

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 35 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.

Contact Information

	Dr Crystal Malloy, PHD, LPC, MAC, CEAP
	174 Scholar Rd, Guyton, GA 31312-6240
	(337) 396-5592
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Crystal Malloy
Gender	Female
Speciality	Mental Health Counselor
Experience	35 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

Counselor in Guyton, GA

Mr. Matthew Thomas Brown, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 174 Scholar Rd, Guyton, GA 31312 Phone: 912-231-7061
Dr. Lakesha Jackson Dean, Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 Greystone Dr, Guyton, GA 31312 Phone: 912-410-8990 Fax: 912-410-8990
Lauren Horton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Royal Oak Dr, Guyton, GA 31312 Phone: 912-675-5348
Shannon Bragg Jones, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Floyd Ave, Guyton, GA 31312 Phone: 912-659-7901
India I'dalis Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 174 Scholar Rd, Guyton, GA 31312 Phone: 912-231-7061
Roland Robert Jackson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 174 Scholar Rd, Guyton, GA 31312 Phone: 912-231-7061
Dr. Dan Bernard Johnson Jr., PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 174 Scholar Rd, Guyton, GA 31312 Phone: 912-877-2227 Fax: 912-877-2332

Dr Crystal Malloy, PHD, LPC, MAC, CEAP - Medicare Counselor in Guyton, GA