Krysten P. Blackshear, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63226 Issued in TX

Practice address

2150 W 18TH St Ste 300
Houston, TX 77008-1289

Phone

(713) 426-0027

NPI assigned

May 25, 2021

Last updated

Jun 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, MI2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houston Area Community Services, Inc.

  dba Avenue 360 Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1477795417
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MI, TX

  Medicare reassignment NPD
• Houston Area Community Services, Inc.

  dba Avenue 360 Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1053539262
  NPD

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1255906897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W 18TH ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081289",
            "telephone_number": "713-426-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W 18TH ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081289",
            "telephone_number": "713-426-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSHEAR",
        "first_name": "KRYSTEN",
        "middle_name": "P.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn S Blackmon, MA LPC LCDC
• Shanda Haley Blackmon, M.D., M.P.H.
• Stephen Harold Blackmore, PH.D.
• Briana Blacknell, LCSW
• Gwendolyn Yvonne Blacknell, LCDC
• Deborah Ann Blackshire, PA-C
• Meteka Blackshire
• Dixie Dever Blackstock, DNP, RN
• Brittany Marian Blackston, MSN, APRN, CPNP-AC
• William O Blackstone, M.D.

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.