Individual provider Active NPI

Crystal Segovia-Quiroz, LMSW

  • Counselor
  • Houston, TX
National Provider Identifier
1013626449
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
67070 Issued in TX
Practice address
700 Milam St Ste 1300
Houston, TX 77002-2736
Phone
(302) 252-5277
Fax
(346) 395-5039
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 67070 TX Primary

Addresses

Primary practice location

700 Milam St Ste 1300
Houston, TX 77002-2736

Mailing address

700 Milam St Ste 1300
Houston, TX 77002-2736
Phone (302) 252-5277

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.simplepractice.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
67070TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1013626449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MILAM ST STE 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770022736",
            "telephone_number": "302-252-5277",
            "fax_number": "346-395-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MILAM ST STE 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770022736",
            "telephone_number": "302-252-5277",
            "fax_number": "346-395-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOVIA-QUIROZ",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "67070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "700 Milam St Ste 1300",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770022736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.