Active NPIIndividual providerSole proprietor

Chrystal M Mintz, LADC-II, LCDP

Counselor, Addiction (Substance Use Disorder) in Providence, Rhode Island

NPI Number1336488816
Practice location
162 Miller Ave, Providence, RI 02905-1400
Fax
—
Last updated
April 28, 2026

Chrystal May Mintz is a Counselor, Addiction (Substance Use Disorder) based in Providence, RI. Chrystal May Mintz practices in Providence, RI and has the professional credentials of LADC-II, LCDP. The NPI Number for Chrystal May Mintz is 1336488816. The current practice location address for Chrystal May Mintz is 162 Miller Ave, Providence, RI 02905-1400 and can be reached out via phone at 619-840-5449.

Provider Profile Details

NPI Number
1336488816
Provider Name
Chrystal May Mintz
Credential
LADC-II, LCDP
Provider Entity Type
Individual
Gender
Female
Address
162 Miller Ave, Providence, RI 02905-1400
Phone Number
619-840-5449
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
February 4, 2013
Last Update Date
April 28, 2026
Certification Date
April 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
162 Miller Ave
Providence, RI 02905-1400
Zip
02905-1400
Phone Number
619-840-5449
Providence, RI 02905Get directions →

Provider Business Mailing Address Details

Address
162 Miller Ave
Providence, RI 02905-1400
City
Providence
State
RI
Zip
02905-1400
Phone Number
619-840-5449

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Chrystal M Mintz, LADC-II, LCDP?

The NPI number of Chrystal M Mintz, LADC-II, LCDP is 1336488816. It was assigned on February 4, 2013 and is currently active in the NPPES registry.

What is the specialty of Chrystal M Mintz, LADC-II, LCDP?

Chrystal M Mintz, LADC-II, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Chrystal M Mintz, LADC-II, LCDP practice?

The practice location is 162 Miller Ave, Providence, RI 02905-1400. The office can be reached at 619-840-5449 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336488816 directly on the NPPES registry website.

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