Active NPI
Crystal Hummel George, CRC, LPC-A
- Counselor
- Coppell, TX
National Provider Identifier
1023788395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 85035
- Practice address
- 413 W Bethel Rd, Ste 100
Coppell, TX 75019-4474 - Phone
- (817) 597-8218
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 85035 | TX | Primary |
Addresses
Primary practice location
413 W Bethel Rd, Ste 100
Coppell, TX 75019-4474
Mailing address
413 W Bethel Rd Ste 100
Coppell, TX 75019-4474
Phone (972) 393-1596
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
| License | State | Type | Specialty |
|---|---|---|---|
| 85035 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Asperger Shop | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Center for Neuroperformance & Counseling
- Counselor
- Flower Mound, TX
- NPI 1396102372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1023788395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 W BETHEL RD STE 100",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194474",
"telephone_number": "972-393-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 W BETHEL RD, STE 100",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194474",
"telephone_number": "817-597-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "CRYSTAL",
"middle_name": "HUMMEL",
"credential": "CRC, LPC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "85035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.