Crystal Dawn Fonville, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Livingston, Texas. She graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Serenity House Counseling, Pllc and her current practice location is
1629 Us Highway 190 E, Livingston, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 259-2119.
Crystal Dawn Fonville is licensed to practice in Texas (license number 203893) 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 1073397162.
Healthcare Provider's Profile
| Full Name | Crystal Dawn Fonville |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 6 Years |
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| Location | 1629 Us Highway 190 E, Livingston, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Crystal Dawn Fonville graduated from medical school in 2020
NPI Data:
- NPI Number: 1073397162
- Provider Enumeration Date: 08/21/2023
- Last Update Date: 11/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264880251
- Enrollment ID: I20231201000972
Medical Identifiers
Medical identifiers for Crystal Dawn Fonville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073397162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 203893 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Serenity House Counseling, Pllc | 3173973377 | 7 |
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. Crystal Dawn Fonville allows following entities to bill medicare on her behalf.
| Entity Name | Tri-county Behavioral Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851333074
PECOS PAC ID: 5991754772
Enrollment ID: O20050119000528 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220525002138 |
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| Entity Name | Serenity House Counseling, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568065142
PECOS PAC ID: 3173973377
Enrollment ID: O20240102000026 |
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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. Crystal Dawn Fonville 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 |
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Crystal Dawn Fonville, LMFT
1629 Us Highway 190 E,
Livingston, TX 77351-4487
Ph: (936) 259-2119 | Crystal Dawn Fonville, LMFT
1629 Us Highway 190 E,
Livingston, TX 77351-4487
Ph: (936) 259-2119 |
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