NPIMap

Organization Active NPI

Crystal Sharp Counseling, LLC

  • Counselor
  • Red Oak, IA
National Provider Identifier
1114467040
Registry record updated Feb 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
001492 Issued in IA
Legal business name
CRYSTAL SHARP COUNSELING, LLC
Practice address
706 W 2ND St
Red Oak, IA 51566-1462
Phone
(402) 616-9876
NPI assigned
Feb 25, 2017
Last updated
Feb 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2017

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

Authorized official

Name
Crystal SharpNPI 1790084242
Title
Owner
Phone
(402) 616-9876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 001492 IA Primary

Addresses

Primary practice location

706 W 2ND St
Red Oak, IA 51566-1462

Mailing address

2412 S 11TH St
Council Bluffs, IA 51501-7407
Phone (402) 616-9876

National Provider Directory

National Provider Directory

Locations

706 W 2nd St
Red Oak, IA 51566
Phone (402) 616-9876

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487980800000",
    "number": "1114467040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 S 11TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017407",
            "telephone_number": "402-616-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W 2ND ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661462",
            "telephone_number": "402-616-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL SHARP COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-25",
        "last_updated": "2017-02-25",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-616-9876"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "001492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; 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.