Individual provider Active NPI

Shelley Renae Crampton, MA, LPC

  • Counselor
  • Wichita Falls, TX
National Provider Identifier
1295249043
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
76192 Issued in TX
Practice address
1420 Twin Oaks
Wichita Falls, TX 76302
Phone
(940) 696-0181
Fax
(940) 696-5692
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 76192 TX Primary

Addresses

Primary practice location

1420 Twin Oaks
Wichita Falls, TX 76302

Mailing address

1420 Twin Oaks St
Wichita Falls, TX 76302-2723
Phone (940) 696-0181

Other names 1

  • Shelley Renae Stubblefield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
76192TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Counseling Ministry Inc PastSince Dec 22, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1295249043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 TWIN OAKS ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022723",
            "telephone_number": "940-696-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TWIN OAKS",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76302",
            "telephone_number": "940-696-0181",
            "fax_number": "940-696-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMPTON",
        "first_name": "SHELLEY",
        "middle_name": "RENAE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "76192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "STUBBLEFIELD",
            "middle_name": "RENAE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.