Individual provider Active NPI

Cindy R Crye, LPC

  • Professional Counselor
  • Kilgore, TX
National Provider Identifier
1245321785
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14640 Issued in TX
Practice address
1100 Stone Road
Suite 102
Kilgore, TX 75662-5494
Phone
(903) 986-9114
Fax
(903) 988-0243
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14640 TX Primary

Addresses

Primary practice location

1100 Stone Road
Suite 102
Kilgore, TX 75662-5494

Mailing address

1100 Stone Road
Suite 102
Kilgore, TX 75662-5494
Phone (903) 986-9114

Other identifiers 2

IdentifierTypeStateIssuer
836446OtherTXBLUE CROSS BLUE SHIELD
127564OtherTXCHIP

Other names 1

  • Ms. Cindy R Reese Former name

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
I20240418001065 TX Practitioner - Mental Health Counselor 3375982770 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Mar 15, 2024 Accepting new patients
Brightside Medical, P.C. CurrentSince Sep 1, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245321785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 STONE ROAD",
            "address_2": "SUITE 102",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756625494",
            "telephone_number": "903-986-9114",
            "fax_number": "903-988-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 STONE ROAD",
            "address_2": "SUITE 102",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756625494",
            "telephone_number": "903-986-9114",
            "fax_number": "903-988-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYE",
        "first_name": "CINDY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "836446",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "127564",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "REESE",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kilgore, TX

Sources for this page

Verify at the official NPI Registry.