Individual Healthcare Provider
Crystal Coetzee
Provider's NPPES record last updated: March 17, 2018
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1124402706
- Primary Specialty
- Counselor — Addiction (Substance Use Disorder)
- Practice Location
- Edmond, Oklahoma
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 6:34 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YA0400X
Practice Locations
Practice Location
1985 W 33rd St
Edmond, Oklahoma 73013-3875
Phone: (405) 285-8976
Additional Practice Location
5208 Classen Cir
Oklahoma City, Oklahoma 73118-4429
Phone: (405) 810-1766
Additional Practice Location
5208 Classen Cir
Oklahoma City, Oklahoma 73118-4429
Phone: (405) 810-1766
Record Information
- Enumeration Date
- July 14, 2015
- Provider's NPPES Record Last Updated
- March 17, 2018
- NPISignal NPPES Dataset
- August 2026
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