Individual provider Active NPI

Crystal Maria Scott, LMFT

  • Marriage & Family Therapist
  • Irving, TX
National Provider Identifier
1144349978
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201586 Issued in TX
Practice address
10517 N. Macarthur Blvd
#1036
Irving, TX 75063
Phone
(209) 324-4004
Fax
(972) 506-8571
NPI assigned
Mar 29, 2007
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201586 TX Primary

Addresses

Primary practice location

10517 N. Macarthur Blvd
#1036
Irving, TX 75063

Mailing address

10517 N. Macarthur Blvd
#1036
Irving, TX 75063
Phone (209) 324-4004

Other identifiers 1

IdentifierTypeStateIssuer
296010601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418002567 TX Practitioner - Marriage and Family Therapist 7517306848 Practice locations: Irving, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1144349978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10517 N. MACARTHUR BLVD",
            "address_2": "#1036",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "209-324-4004",
            "fax_number": "972-506-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10517 N. MACARTHUR BLVD",
            "address_2": "#1036",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "209-324-4004",
            "fax_number": "972-506-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CRYSTAL",
        "middle_name": "MARIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296010601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.