| Crystal L. Oswalt, Ph.d., Counseling & Consulting Services Inc. | |
| 
					316 W Market St Celina OH 45822-2125  | |
| (419) 586-3900 | |
| (419) 586-3338 | 
| Full Name | Crystal L. Oswalt, Ph.d., Counseling & Consulting Services Inc. | 
|---|---|
| Speciality | Psychologist | 
| Location | 316 W Market St, Celina, Ohio | 
| Authorized Official Name and Position | Crystal Lynn Oswalt (PSYCHOLOGIST/CEO/OWNER) | 
| Authorized Official Contact | 4195863900 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Crystal L. Oswalt, Ph.d., Counseling & Consulting Services Inc. 316 W Market St Celina OH 45822-2125 Ph: (419) 586-3900  | Crystal L. Oswalt, Ph.d., Counseling & Consulting Services Inc. 316 W Market St Celina OH 45822-2125 Ph: (419) 586-3900  | 
| NPI Number | 1518465822 | 
|---|---|
| Provider Enumeration Date | 02/01/2018 | 
| Last Update Date | 06/16/2018 | 
| Medicare PECOS PAC ID | 2567722838 | 
|---|---|
| Medicare Enrollment ID | O20180206000288 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518465822 | NPI | - | NPPES | 
| 1255498465 | Other | OH | CORE SOURCE | 
| 1255498465 | Other | OH | ANTHEM | 
| 1255498465 | Other | OH | BLUE CROSS BLUE SHIELD | 
| 1255498465 | Medicaid | OH | |
| 1255498465 | Other | OH | AETNA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3620 (Ohio) | Primary | 
| Provider Name | Crystal Oswalt | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1255498465 PECOS PAC ID: 6002176385 Enrollment ID: I20180206000968  | 
| Provider Name | Tammie Prenger | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1821769985 PECOS PAC ID: 0042609448 Enrollment ID: I20211104002566  | 
| Provider Name | Tammy Nunnally | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1053789743 PECOS PAC ID: 8628413986 Enrollment ID: I20240227002552  | 
| Provider Name | Aaron Kuhn | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1609136951 PECOS PAC ID: 0446697205 Enrollment ID: I20240403003395  | 
Momentum Counseling And Consultation, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 427 E Market St, Celina, OH 45822 Phone: 419-305-7214 Fax: 567-890-7214  | |
Topp Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Godfrey Ave, Suite A, Celina, OH 45822 Phone: 419-852-6545  | |
Foundations Behavioral Health Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4761 State Route 29, Celina, OH 45822 Phone: 419-584-1000 Fax: 419-584-1825  | |
Beacon Counseling And Consultation Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Godfrey Ave, Celina, OH 45822 Phone: 937-417-5946  | |
Center For Emotional Health, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 Portland St Ste A, Celina, OH 45822 Phone: 567-644-8186  | |
Mercer Residential Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 S Sugar St, Celina, OH 45822 Phone: 419-586-4709  |