Crystal Ann Bostow Liddycoat, MA, LAC, LPC
NPI 1356581227ActiveIndividual· Counselor, Mental Health· West Fargo, ND
Counselor, Mental Health (MA, LAC, LPC) in West Fargo, North Dakota, licensed in ND and NV, with an NPI issued in March 2009.
Overview
| NPI | 1356581227 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LAC, LPC |
| Sole proprietor | Yes |
| NPI issued | Mar 4, 2009 |
| Last updated in NPPES | Jan 13, 2026 |
| Certified by provider | Jan 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 621-12-15-08 | ND |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1596 | ND |
| Counselor, Mental Health | 101YM0800X | CP6207-R | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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