Individual provider Active NPI

Christina Marie Crain, MS LPCLMHC NCC CCMHC

  • Mental Health Counselor
  • Saint Charles, MO
National Provider Identifier
1033606769
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13547 Issued in FL
Practice address
501 Chele Dr
Saint Charles, MO 63304
Phone
(138) 586-4652
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 2018036210 MO
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 13547 FL Primary

Addresses

Primary practice location

501 Chele Dr
Saint Charles, MO 63304

Mailing address

501 Chele Dr
Saint Charles, MO 63304-5516
Phone (138) 586-4652

Other practice location 1

3800 W Bay To Bay Blvd Ste 13
Tampa, FL 33629-6844
Phone (813) 586-4652

Other practice location 2

13498 US 301 S
Riverview, FL 33578-9335
Phone (816) 586-4652

Other practice location 3

501 Chele Dr
Saint Charles, MO 63304
Phone (138) 586-4652

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13547FLMDMental Health Counselor
2018036210MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1033606769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CHELE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633045516",
            "telephone_number": "138-586-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHELE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "63304",
            "telephone_number": "138-586-4652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 W Bay To Bay Blvd Ste 13",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336296844",
            "country_code": "US",
            "telephone_number": "813-586-4652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13498 US 301 S",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335789335",
            "country_code": "US",
            "telephone_number": "816-586-4652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Chele Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "63304",
            "country_code": "US",
            "telephone_number": "138-586-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "MS LPCLMHC NCC CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018036210",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "13547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.