Crystal Chang-Carter, MS, LCDC,LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

81427 Issued in TX

Practice address

405 State Highway 121 Byp Ste A250
Lewisville, TX 75067-4183

Phone

(469) 444-3700

NPI assigned

Jan 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• C Squared Facilities, LLC

  • Counselor
  • Lewisville, TX
  • NPI 1336732361
  NPD

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1063043743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 E ROUND GROVE RD APT 2221",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673846",
            "telephone_number": "469-671-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "469-444-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 E Round Grove Rd Apt 2221",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750673846",
            "country_code": "US",
            "telephone_number": "469-671-7907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG-CARTER",
        "first_name": "CRYSTAL",
        "name_prefix": "Ms.",
        "credential": "MS, LCDC,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aparna Chamala
• Betsie Chamberlain, LPC ASSOCIATE
• Julie Chamis, M.S., CCC-SLP
• Julia Chan, O.D.
• Archana Chandra, MD
• Lin Chang, D.D.S.
• Chapel Creek Surgery Center LLC
• Sherri Lynn Chapman, L.M.T.
• Deanna Decker Chavez, MA-CCC/SLP
• Dayjha Cheatham Keith

• Professional Counselor in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.