Active NPI
Christina Marie Crain, MS LPCLMHC NCC CCMHC
- Mental Health Counselor
- Saint Charles, MO
National Provider Identifier
1033606769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13547
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2018036210 | MO | |
| Mental Health Counselor | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13547 | FL | MD | Mental Health Counselor |
| 2018036210 | MO | MD | Professional 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.